Help
If you would like us to assist you in filling up this form, please fill in your details here and our personnel will call you shortly.

http://www.insuranceinfo.com.my/

Agent Serial: KL3011280
Agent Name: Kadar Halus Sdn Bhd is the insurance agent for RHB Insurance Berhad  (PIAM Registration 145336-00).

  • Click here for product fact sheet and information pertaining to Motor policy purchase from RHB Insurance Berhad.
  • Click here to view policy sample.


STEP  1  of  3   Buying Insurance From RHB Insurance Berhad
Important Notice. Declaration of Material Facts. Statement pursuant to Section 149(4) of the Insurance Act, 1996. You are to disclose in this Online Proposal Form, fully and faithfully all the facts which you know or ought to know otherwise the Certificate issued hereunder may be void.
Owner Information
Ownership *
:
Individual     Company
Name *
:
Date of Birth *
:
[dd/mm/yyyy]
IC No. * (With dash '-' sign)
:
- -
Business Registration No.
:
Old IC No ./Army No.
:
E-Mail *
:
Passport/Others No.
:
Gender *
:
Male       Female     Company    Society / Local Government Council
Marital Status *
:
Single     Married     Divorcee     Company    
Driving Experience *
:
year(s)
Occupation *
:
Vehicle Reg.No.*
:
I hereby confirm that this is a Private Car and registered in Peninsular Malaysia only.
Address *
:



Postcode Town
State *
:
Phone No. *
:
(Mobile)    (office)    (House)

By clicking the 'PROCEED' button, I hereby declare that I have read and all statements given in this online application are complete and true. This declaration shall form the basis of the contract between me and RHB Insurance Berhad.