Insurance Renewal - PERODUA NASROM

RENEW YOUR MOTOR INSURANCE & ROAD TAX THE SMARTER WAY

Fill in your details and get contacted by our Authorized Nasrom Insurance Centre agent for a FREE QUOTE

Enjoy the best value for an insurance plan that is exclusively for you.

Full Name

NRIC

Contact No.

Full Address

Vehicle Registration Number

Vehicle Make

Vehicle Model

Year Manufactured

Engine Capacity (cc)

Engine No.

Chassis No.

Preferred Insurance Panel

I have read and agree to the Personal Data Protection Notice as posted on Personal Data Protection ("PDP Notice") and consent to Perodua Nasrom (M) Sdn. Bhd. (including its panel of insurance) processing my personal data in accordance with the PDP Notice.

RENEW YOUR MOTOR INSURANCE & ROAD TAX THE SMARTER WAY

Fill in your details and get contacted by our Authorized Nasrom Insurance Centre agent for a FREE QUOTE

Our Panel of Insurance Institutions.