Number plate of driver who referred you
VERY IMPORTANT, if wrong IC then payment won't go through
For drivers aged 50 years or older, please note that Section E - Medical Examination Report MUST be completed by a certifying doctor before submission. Download it here
IMPORTANT! Please use the format e.g. 60129873647
IMPORTANT! Please use the format e.g. 60340298810
*Only drivers from the competitor platform is entitled for this promotion.
*You will need to provide your latest payout statement from the competitor platform prior to activation in order to get activated.
*Please ensure to correctly select your ACTUAL Vehicle colour to avoid future misunderstanding*
Please follow above format with NO BLANK SPACES
If your answer is no, please answer as per the options as provided.
Please ensure that the details provided are accurate for payment purposes.
Only choose Comprehensive (Commercial) if you are using car rental.