Motor Insurance Form

Motor Insurance

Only applicable for Private Car

Policy Holder Information

Vehicle Information

If applicable, Additional Named Driver

Check your eligibility for a COM.

Are there any claims in the last 3 years?

YesNo

If yes to claims, indicate number of claims and claimed amount.

I confirm that the information I have provided is my personal data. By providing this information, I understand and consent to PFPFA Pte Ltd, its associated persons and representatives (“Permitted Parties”) contacting me via phone/WhatsApp/SMS and/or email to deliver and to provide information regarding their services (“Purpose”). By clicking submit, I hereby consent to PFPFA Pte Ltd collecting, using, processing, retaining and/or disclosing my personal data to the Permitted Parties for the Purpose described above. I have been informed that I may request for this consent to be withdrawn at any time by sending my request via email to hello@pfp-fa.com

Terms and Conditions

Sign-up gift is applicable for Private Cars.
The sign-up gift: Nets Flashcard with $50 value is only applicable for incepted Private Motor Insurance policies with premiums from $800 and above.
The sign-up gift campaign runs from 13 Aug 2024 to 12 Oct 2024. Eligible customers will receive the Nets Flashcard with $50 value in person by 31 Jan 2025.
The sign-up gift is available exclusively to customers who purchase a new Motor Insurance policy through this campaign. Existing PFPFA customers renewing their policy are not eligible.
PFPFA reserves the right to vary/amend the terms and conditions of this Promotion at any time without prior notice.
PFPFA reserves the right to, at any time and in its sole and absolute discretion, replace and/or substitute the gift with any other item of a similar value
PFPFA’s decision on all matters relating to this Promotion shall be final, conclusive and binding. No appeals will be entertained.

9 Temasek Boulevard, #30-01/02 Suntec Tower 2, Singapore 038989

+65 6470 9393

hello@pfp-fa.com

Here for you.