Please enable JavaScript in your browser to complete this form.Do you give Finkor consent to share your personal information, in order to prepare insurance quotations for you? *YESSurname, Brith names & Title: *ID nr *Celphone Number *Email *Occupation *Pensioner *YESNOMarital Status *Total years of car insurance and with whom? *With whom are you currently insured with? *Have you ever been the regular driver on a policy?YESNOIf yes, for how long and with whom? *Your current premium? *Address * Area Code: *Did you experience any losses in the last 7 years? *JaNeeIf so, please specify below:1: Date1: Section1: Circumstance1: Amount2: Date2: Section2: Circumstance2: Amount3: Date3: Section3: Circumstance3: AmountVehicle 1: Year Modeleg 2008Vehicle 1: Makeeg BMW, Toyota Vehicle 1: Modeleg. 318 A/T, ensVehicle 1: Registered owner Name, Surname and IDVehicle 1: Value of vehicleVehicle 1: Color of vehicle and is the vehicle metallic? Vehicle 1: Is the vehicle financed YESNOVehicle 1: If YES, where is it FinancedVehicle 1: Funding House, Contract numbers and Expiration Date:Vehicle 1: Address of Overnight ParkingVehicle 1: Overnight, e.g. locked gates, garageVehicle 1: Address of Day parkingVehicle 1: Day, e.g. locked gates with security guardVehicle 1: Car hire optionLOSSREPAIRNONEVehicle 1: If yes, please confirm the amount of days. 306090Vehicle 1: Regular driver Name, Surname and IDVehicle 1: Date of first issue of license card:Vehicle 1: Class of usePrivateBusinessVehicle 1: What security is in vehicle?Vehicle 1 : Extras on the vehicle: Description and replacement value of the extras:Vehicle 1: Vin Number:Vehicle 1: Engine: Vehicle 1: Reg:Vehicle 2: Year Model eg 2008Vehicle 2: Make eg BMW, Toyota Vehicle 2: Model eg. 318 A/T, ensVehicle 2: Registered owner Name, Surname and ID Vehicle 2: Value of vehicle Vehicle 2: Color of vehicle and is the vehicle metallic? Vehicle 2: Is the vehicle financedYESNOVehicle 2: If YES, where is it FinancedVehicle 2: Funding House, Contract numbers and Expiration Date: Vehicle 2: Address of Overnight Parking Vehicle 2: Overnight, e.g. locked gates, garage Vehicle 2: Address of Day ParkingVehicle 2: Day, e.g. locked gates with security guardVehicle 2: Car hire option LOSSREPAIRNONEVehicle 2: If yes, please confirm the amount of days. 306090Vehicle 2: Regular driver Name, Surname and ID Vehicle 2: Date of first issue of license card: Vehicle 2: Class of use PrivateBusinessVehicle 2: What security is in vehicle? Vehicle 2 : Extras on the vehicle: Description and replacement value of the extras: Vehicle 2: Vin Number: Vehicle 2: Engine:Vehicle 2: Reg:Vehicle 3: Year Model eg 2008Vehicle 3: Make eg BMW, Toyota Vehicle 3: Model eg. 318 A/T, ensVehicle 3: Registered owner Name, Surname and ID Vehicle 3: Value of vehicle Vehicle 3: Color of vehicle and is the vehicle metallic? Vehicle 3: Is the vehicle financed YESNOVehicle 3: If YES, where is it Financed Vehicle 3: Funding House, Contract numbers and Expiration Date: Vehicle 3: Address of Overnight Parking Vehicle 3: Overnight, e.g. locked gates, garage Vehicle 3: Address of Day Parking Vehicle 3: Day, e.g. locked gates with security guard a card: Vehicle 3: Car hire option LOSSREPAIRNONEVehicle 3: If yes, please confirm the amount of days. 306090Vehicle 3: Regular driver Name, Surname and ID Vehicle 3: Date of first issue of license card: Vehicle 3: Class of use PrivateBusinessVehicle 3: What security is in vehicle? Vehicle 3 : Extras on the vehicle: Description and replacement value of the extras: Vehicle 3: Vin Number: Vehicle 3: EngineVehicle 3: RegVehicle 4: Year Model eg 2008Vehicle 4: Make eg BMW, Toyota Vehicle 4: Model eg. 318 A/T, ensVehicle 4: Registered owner Name, Surname and ID Vehicle 4: Value of vehicle Vehicle 4: Color of vehicle and is the vehicle metallic? Vehicle 4: Is the vehicle financedYESNOVehicle 4: If YES, where is it Financed Vehicle 4: Funding House, Contract numbers and Expiration Date: Vehicle 4: Address of Overnight Parking Vehicle 4: Overnight, e.g. locked gates, garage Vehicle 4: Address of Day Parking Vehicle 4: Day, e.g. locked gates with security guard Vehicle 4: Car hire option LOSSREPAIRNONEVehicle 4: If yes, please confirm the amount of days. 306090Vehicle 4: Regular driver Name, Surname and ID Vehicle 4: Date of first issue of license card: Vehicle 4: Class of usePrivateBusinessVehicle 4: What security is in vehicle? Vehicle 4 : Extras on the vehicle: Description and replacement value of the extras: Vehicle 4: Vin Number: Vehicle 4: Engine:Vehicle 4: Reg:Submit9956