Kia Auto Protector - Proposal Form

*=Required
Period of Insurance
 
 

Proposer Information

 
 
 
 
 
 
 
 

 
 
 

Declarations

NCD being transferred?
 
 

Past Claim Information

 
 
 
 
 
 
 
 
 

Revoked and Endorsed Licence

 
 
 

Vehicle Information

 

Driver Age Condition

Important Terms

Applicable to both 1-Year and 2-Year Period of Insurance

This is an authorized workshop scheme which requires all accident repairs to be done at Cycle & Carriage Body & Paint Centre or AIG’s authorised workshops. The Certificate of Insurance will indicate where the motor vehicle (“Vehicle”) can be repaired after an accident.

A Young and/or Inexperienced Driver Excess ("YIDR") of S$3,210.00 (inclusive of GST), in addition to the Policy Excess, applies to You or any Authorised Driver (named and unnamed) who is below the age of 23 (in case of All Age Condition policies) and/or has less than 2 years’ driving experience. The YIDR Excess is not applicable to Named Driver policies.

Applicable to 2-Year Period of Insurance only

If a claim has been made or has arisen during the first 12 months of this Policy, AIG reserves the right to (a) apply Additional Excess with effect from the first day of the 13th month of this Policy, or (b) cancel this Policy by giving you 7 days’ notice in writing and returning to you the premium payable for the unused period of insurance under this Policy.

Under this Policy, there will be no increase in NCD at the end of the first year. NCD will be increased upon renewal only if you do not make any claims under this Policy during the period of insurance of 24 months or more before renewal.

Acknowledgement and Declaration

1. That if I/we have opted for the 2-year period of insurance, in the event that my/our claims experience is different from what is declared in this proposal form, I/we understand that AIG reserves the right to

(a) cancel the 2-year period of insurance and convert it to a 1-year period of insurance, or (b) cancel or void the Policy by giving me written notice via registered post to my last known address.

2. That I am/we are ordinarily resident(s) in Singapore as defined by the Insurance Act (Cap. 142) (Amendment of First Schedule) Order 2010.

3. That I/we have received, read and understood, or have been advised of and understand, the contents of the brochure and/or any information material relating to this insurance product

4. That if I/we have opted for the 2-year period of insurance, in the event that my/our claims experience is different from what is declared in this proposal form, I/we understand that AIG reserves the right to

(a) cancel the 2-year period of insurance and convert it to a 1-year period of insurance, or (b) cancel or void the Policy by giving me written notice via registered post to my last known address.

7. That I am/we are ordinarily resident(s) in Singapore as defined by the Insurance Act (Cap. 142) (Amendment of First Schedule) Order 2010.

8. That I/we have received, read and understood, or have been advised of and understand, the contents of the brochure and/or any information material relating to this insurance product

9. That if I/we have opted for the 2-year period of insurance, in the event that my/our claims experience is different from what is declared in this proposal form, I/we understand that AIG reserves the right to

(a) cancel the 2-year period of insurance and convert it to a 1-year period of insurance, or (b) cancel or void the Policy by giving me written notice via registered post to my last known address.

10. That I am/we are ordinarily resident(s) in Singapore as defined by the Insurance Act (Cap. 142) (Amendment of First Schedule) Order 2010.

11. That I/we have received, read and understood, or have been advised of and understand, the contents of the brochure and/or any information material relating to this insurance product

 

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