Quote Request Referral

Here at Accord Insurance Agency we give you the best car insurance quote with low premium and high benefits. List down your particulars below and we will get in touch with you. *New to us? Enjoy $30 Grab food/ride coupon when you insure your car. T&C apply.

Car & Owner Details - Referral RFQ

Vehicle Number*
No-Claim Discount (NCD)*
Learn more about No-Claim Discount
What is No-Claim Discount (NCD)?
If you have not made a claim for a year or more, you are entitled to a No-Claim Discount(NCD) of 10% each year till max of 50%. It is a reduction in renewal premium to reflect a claim-free record.
Owner/Driver Details
Name*
NRIC Number*
Claim Experience:*
- No
- Yes
Gender*
- Male
- Female
Years of Valid Driving License*
Date Of Birth*
Marital Status*
- Married
- Single
- Divorced
- Widowed
Occupation*
Contact Number*
(We call to ensure info & quotes accuracy)
Email*
Special Instructions
Terms and Conditions
- By checking this box, you agree to let Accord Insurance Agency disclose your provided information to its agents, insurers or third party service providers for the purpose of providing you with the requested quotations. You also agree to receive calls, SMSes and emails from Accord Insurance Agency and its respective partners for future follow ups.

Terms and Conditions

Promotion is only valid for New Customers who have not request for quote from Accord Insurance Agency or any of our partners.
Accord Insurance Agency reserves right to amend terms and conditions without prior notice includes changing the price of the promotion or offer, changing the details of the promotion or offer or any other changes in order to protect the interests of the company or under circumstances of abuse.
Accord Insurance Agency will not be responsible for replacing any lost, stolen or any expired unutilized coupon.
There is no joint venture, partnership, employment, or agency relationship between Accord Insurance Agency and Grab.

Quote Request Referral

Car & Owner Details - Referral RFQ

Owner/Driver Details