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Car Insurance Quote
1
About the car
2
About the driver
3
Complete
About the policy holder
Full Name
What is your gender
Male
Female
Date of birth
D
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M
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Y
1940
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2005
2006
2007
2008
2009
2010
2011
2012
Marital status
-- Please Select --
Married
Single
Common Law/Partner
Civil Partnership
Widowed
Divorced
How many children under 16 do you have?
0
1
2
3
4
5
6
Are you home owner
Yes
No
Address
Phone number
Email
What do you do for a living
What's your employer's business type?
How long have you lived in Australia
From birth or since
--Month--
January
February
March
April
May
June
July
August
September
October
November
December
Claim and offences
Have you made any car insurance claims in the last 5 years?
Yes
No
Have you had any driving offences in the last 5 years?
Yes
No
Do you have any non-motoring convictions?
Yes
No
About your driving
When do you want your insurance policy to start (withing 30 days)?
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M
January
February
March
2012
What type of driving license do you hold?
-- Please Select --
Full Australia Licence
Provisional Australia
Full Australia with Pass Plus
Full Australia with IAM
Full Australia for automatics only
Other foreign Licence
Restricted: less than 3 years
Restricted: 3 or more years
How long have you held this license?
-- Please Select --
Less than one
1
2
3
4
5
6
7
8
9
10
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60+
Years
How many years no claims discount do you have?
-- Please Select --
Less than one
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20+
Years
Do you have any medical conditions that affect your driving?
No
DVLA aware - No restrictions
DVLA aware - 1yr restricted licence
DVLA aware - 2yr restricted licence
DVLA aware - 3yr restricted licence
DVLA unaware
Doctor advised not to drive
Have you ever been declined car insurance?
Yes
No
Do you drive any other cars?
No access to any other cars
Own another car
Named driver on another policy
Company car (including social use)
Company car (excluding social use)
What voluntary excess would you like on this policy
$0
$50
$100
$150
$200
$250
$300
$350
$400
$450
$500
$700
$1000
How would you prefer to pay for your car insurance?
Yearly
Monthly
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