Star Motor Insurance

Customer Details

Search for an existing customer or add a new customer

First Name

Middle Name

Last Name

Gender

Email

Phone

Address

Policy Details

Nearest Branch

Product

TP Xtra Package

TP Xtra Package

Start Date

Insurance Period

End Date

No of days

Vehicle Details

Fill out the form and add all vehicles

Year of registration

Vehicle Usage

Registration no.

Vehicle Make

Vehicle Model

Body Type

Color

Chassis No.

No. of seats

Cubic capacity

Year of manufacture

Vehicle value

Buy Extra TPPD?

Extra TPPD Amount

Buy Excess?

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Vehicle Usage	Reg. No.	Make	Model	Body Type	Color	Value	Seats

Premium Summary

Premium generated for the details below is GHS

Customer Details

Name:

Email:

Phone:

Policy Details

Product:

Start Date:

End Date:

Policy Period:

Branch:

Vehicle Details

Vehicle Usage	Reg. No.	Make	Model	Body Type	Color	Value	Seats

First name	Middle name	Last name	DoB	Gender	Email	Phone