120, 120A, Pannipitiya Road, Battaramulla, Sri Lanka.
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Insurance Detail
Vehicle Type
Select Insurance Type
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Select Insurance Type
Full Insurance
Third Party Insurance
Do you have Lease / Hire purchase on vehicle?
*
Select Lease Status
No
Yes
Estimated Market Value
*
Purpose
*
Select Purpose
Private
Choose the type of fuel
*
Select Fuel Type
Petrol
Diesel
Hybrid
Electric
Make
*
Select Vehicle Make
APRILIA
BAJAJ
DEMAK
HERO
HERO HONDA
HONDA
KAINETIC
KTM
KYMCO
MAHINDRA
Nevorp
PIAGGIO
RANOMOTO
ROYAL ENFIELD
SINSKI
SUZUKI
TVS
YAMAHA
Model
*
Select Vehicle Model
225
Ace125
Activa
Alpha
Apache
Arro
Avenger Street
Aviator
Boxer
Burgman
CB Twister
CB Unicorn
CBR
CD Dream
CD110
CD125
CD200
Centuro
Classic 315
Combat
CT100
Dart DXT
Dash
Dawn
Dearm Yuga
DESTINI
Dio
Discover
Downtown
DTM150
Duke
DV110
EN125
FASCINO
Fazer
Flame
FMX250
FZ
FZ S
Gixxer
Glamour
GN125
Grazia
Gusto
GX125
Hornet
Hornet 160R
Hunk
iSmart
Jive
Karizma
LA Custom
LX 125
LX100
Maestro
Magna
Metro
MT15
Navi
NMAX
Ntorq
NXG
Passion
Pattaya
PCX 125
Phantom
Phoenix
Piranha
Platina
Pleasure
Pulsar
Pulsar RS
R15
R3
Ray
Ray ZR
Ray ZR Street Rally
RC
Rinos
Rodeo
Safari
Saluto
Savage
Scooby
Scooter
Scooty Pep
Scooty Zest
Shine
Slingshot
Spark
Splender
SR150
Star Sport
Stead
Stryker
Stunner
Swish
SZ
TDR91Z
Transtar 125
Tropica
TTR250
V15
Vespa
Victor
Volty
Wego
WR250
XCD
Xplus 200
Xplus 200T
XR
Xtream
YBR110
Year of Manufacture
*
Select Year of Manufacture
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
Do you have a vehicle registration Number?
*
Select Vehicle Registration Number Status
Yes
No
Do you have existing full insurance?
Select Existing Insurance Status
Yes
No
What is the existing insurance company?
*
Select Existing Insurance Company
ALLIANZ INSURANCE LANKA LTD
AMANA TAKAFUL PLC
CEYLINCO GENERAL INSURANCE LTD
CO-OPERATIVE INSURANCE COMPANY LTD
CONTINENTAL INSURANCE LANKA LTD
FAIRFIRST INSURANCE LTD
HNB GENERAL INSURANCE LTD
LOLC GENERAL INSURANCE PLC
MBSL INSURANCE COMPANY LTD
ORIENT INSURANCE COMPANY LTD
PEOPLES INSURANCE PLC
SANASA GENERAL INSURANCE COMPANY LTD
Leasing Company / Bank
*
Select Leasing Company / Bank
Abans Finance PLC
Alliance Finance Co. PLC
Amana Bank
AMW Capital Leasing and Finance PLC
Asia Asset Finance PLC
Assetline Finance Ltd.
Associated Motor Finance Co. PLC
Bank of Ceylon
Bank of China
Bimputh Finance PLC
Cargills Bank
CBC Finance Ltd
Central Finance Co.PLC
Citibank
Citizens Development Business Finance PLC
Commercial Bank of Ceylon
Commercial Credit & Finance PLC
Deutsche Bank
DFCC Bank
Dialog Finance PLC
ETI Finance Ltd
Fintrex Finance Ltd.
Habib Bank
Hatton National Bank
HNB Finance PLC
HSBC
Indian Bank
Indian Overseas Bank
Kanrich Finance Ltd
Lanka Credit and Business Finance PLC
LB Finance PLC
LOLC Finance PLC
Mahindra Ideal Finance Ltd.
MCB Bank
Mercantile Investments & Finance PLC
Merchant Bank of Sri Lanka & Finance PLC
Multi Finance PLC
Nation Lanka Finance PLC
National Development Bank
Nations Trust Bank
Orient Finance PLC
Pan Asia Bank
People's Bank
People's Leasing & Finance PLC
PMF Finance PLC
Public Bank Berhad
Richard Pieris Finance Ltd.
Sampath Bank
Senkadagala Finance PLC
Seylan Bank
Singer Finance (Lanka) PLC
Siyapatha Finance PLC
SMB Finance PLC
Softlogic Finance PLC
Standard Chartered Bank
State Bank of India
UB Finance Co. Ltd
Union Bank of Colombo
Vallibel Finance PLC
Purpose
*
Select Purpose
Private
Make
*
Select Vehicle Make
APRILIA
BAJAJ
DEMAK
HERO
HERO HONDA
HONDA
KAINETIC
KTM
KYMCO
MAHINDRA
Nevorp
PIAGGIO
RANOMOTO
ROYAL ENFIELD
SINSKI
SUZUKI
TVS
YAMAHA
Model
*
Select Vehicle Model
225
Ace125
Activa
Alpha
Apache
Arro
Avenger Street
Aviator
Boxer
Burgman
CB Twister
CB Unicorn
CBR
CD Dream
CD110
CD125
CD200
Centuro
Classic 315
Combat
CT100
Dart DXT
Dash
Dawn
Dearm Yuga
DESTINI
Dio
Discover
Downtown
DTM150
Duke
DV110
EN125
FASCINO
Fazer
Flame
FMX250
FZ
FZ S
Gixxer
Glamour
GN125
Grazia
Gusto
GX125
Hornet
Hornet 160R
Hunk
iSmart
Jive
Karizma
LA Custom
LX 125
LX100
Maestro
Magna
Metro
MT15
Navi
NMAX
Ntorq
NXG
Passion
Pattaya
PCX 125
Phantom
Phoenix
Piranha
Platina
Pleasure
Pulsar
Pulsar RS
R15
R3
Ray
Ray ZR
Ray ZR Street Rally
RC
Rinos
Rodeo
Safari
Saluto
Savage
Scooby
Scooter
Scooty Pep
Scooty Zest
Shine
Slingshot
Spark
Splender
SR150
Star Sport
Stead
Stryker
Stunner
Swish
SZ
TDR91Z
Transtar 125
Tropica
TTR250
V15
Vespa
Victor
Volty
Wego
WR250
XCD
Xplus 200
Xplus 200T
XR
Xtream
YBR110
Year of Manufacture
*
Select Year of Manufacture
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
Do you have a vehicle registration Number?
*
Select Vehicle Registration Number Status
Yes
No
Estimated Market Value
*
Select Estimated Market Value
200,000
250,000
300,000
350,000
400,000
425,000
450,000
475,000
500,000
525,000
550,000
600,000
Purpose
*
Select Purpose
Private
Choose the type of fuel
*
Select Fuel Type
Petrol
Diesel
Hybrid
Electric
Make
*
Select Vehicle Make
APRILIA
BAJAJ
DEMAK
HERO
HERO HONDA
HONDA
KAINETIC
KTM
KYMCO
MAHINDRA
Nevorp
PIAGGIO
RANOMOTO
ROYAL ENFIELD
SINSKI
SUZUKI
TVS
YAMAHA
Model
*
Select Vehicle Model
225
Ace125
Activa
Alpha
Apache
Arro
Avenger Street
Aviator
Boxer
Burgman
CB Twister
CB Unicorn
CBR
CD Dream
CD110
CD125
CD200
Centuro
Classic 315
Combat
CT100
Dart DXT
Dash
Dawn
Dearm Yuga
DESTINI
Dio
Discover
Downtown
DTM150
Duke
DV110
EN125
FASCINO
Fazer
Flame
FMX250
FZ
FZ S
Gixxer
Glamour
GN125
Grazia
Gusto
GX125
Hornet
Hornet 160R
Hunk
iSmart
Jive
Karizma
LA Custom
LX 125
LX100
Maestro
Magna
Metro
MT15
Navi
NMAX
Ntorq
NXG
Passion
Pattaya
PCX 125
Phantom
Phoenix
Piranha
Platina
Pleasure
Pulsar
Pulsar RS
R15
R3
Ray
Ray ZR
Ray ZR Street Rally
RC
Rinos
Rodeo
Safari
Saluto
Savage
Scooby
Scooter
Scooty Pep
Scooty Zest
Shine
Slingshot
Spark
Splender
SR150
Star Sport
Stead
Stryker
Stunner
Swish
SZ
TDR91Z
Transtar 125
Tropica
TTR250
V15
Vespa
Victor
Volty
Wego
WR250
XCD
Xplus 200
Xplus 200T
XR
Xtream
YBR110
Year of Manufacture
*
Select Year of Manufacture
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
Do you have a vehicle registration Number?
*
Select Vehicle Registration Number Status
Yes
No
Leasing Company / Bank
*
Select Leasing Company / Bank
Abans Finance PLC
Alliance Finance Co. PLC
Amana Bank
AMW Capital Leasing and Finance PLC
Asia Asset Finance PLC
Assetline Finance Ltd.
Associated Motor Finance Co. PLC
Bank of Ceylon
Bank of China
Bimputh Finance PLC
Cargills Bank
CBC Finance Ltd
Central Finance Co.PLC
Citibank
Citizens Development Business Finance PLC
Commercial Bank of Ceylon
Commercial Credit & Finance PLC
Deutsche Bank
DFCC Bank
Dialog Finance PLC
ETI Finance Ltd
Fintrex Finance Ltd.
Habib Bank
Hatton National Bank
HNB Finance PLC
HSBC
Indian Bank
Indian Overseas Bank
Kanrich Finance Ltd
Lanka Credit and Business Finance PLC
LB Finance PLC
LOLC Finance PLC
Mahindra Ideal Finance Ltd.
MCB Bank
Mercantile Investments & Finance PLC
Merchant Bank of Sri Lanka & Finance PLC
Multi Finance PLC
Nation Lanka Finance PLC
National Development Bank
Nations Trust Bank
Orient Finance PLC
Pan Asia Bank
People's Bank
People's Leasing & Finance PLC
PMF Finance PLC
Public Bank Berhad
Richard Pieris Finance Ltd.
Sampath Bank
Senkadagala Finance PLC
Seylan Bank
Singer Finance (Lanka) PLC
Siyapatha Finance PLC
SMB Finance PLC
Softlogic Finance PLC
Standard Chartered Bank
State Bank of India
UB Finance Co. Ltd
Union Bank of Colombo
Vallibel Finance PLC
Personal Detail
Title / Name with Initials
*
Select Title
Mr.
Mrs
Miss
Dr.
Other
Rev
NIC Number
*
Mobile Number
*
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