Make, Model & Body Type
Please SelectFlat TopTipperPantech
Carry Capacity (t)
Main Base of Operation
Sum Insured ($)
Has anyone comprising the insured, or any intended driver, either alone or jointly with others, ever been fined/convicted of a traffic offence in the last five years?
Had a driving license endorsed, suspended or canceled in the last five years?
Had any accidents, fires or lodged a claim in connection with motor vehicles during the last five years?
If 'Yes' to any of the above questions, please state full details:
Has anyone comprising the insured, or any intended driver, either alone or jointly with others, ever: Been convicted of a criminal offence in the last ten years?
Been declared bankrupt or put into liquidation or receivership?
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