THAILAND INSURANCE PACKAGE A

Customer Details

Buyer's Name

Phone No

Email Address

Travel Date

Select entrance ( Border )

Select departure ( Border )

Documents Collection

⚠️IMPORTANT :

If you would like to pick delivery , please place order at least 7 days or more before the travel date ( ).

Otherwise , select self collect if you would like to collect the documents. Please do note that our branch located near Bukit Kayu Hitam border

Select your document collection method

Self Collect

PDF

Delivery

Select pick-up counter

Mini Travel Shop

Changlun T-Hotel

Self Collect Point :

Note : Near Bukit Kayu Hitam border, next to the highway.

Self Collect Point :

Note : Near Bukit Kayu Hitam border, next to the highway.

Self Collect Point :

Note : At Pekan Lama , Changlun

Delivery : We provide free delivery service to your address which you will fill up on the check-out. Please make sure you ordered 7 days or more before the travel date.

PDF : The PDF will be sent via WhatsApp / Email. Please make sure your phone no. or email address is correct.

I consent to have this website store my submitted information so they can respond to my inquiry

Order Menu

Please select your package

TRAVEL TENANG SET ( 8 DAYS )

BASIC SET ( 8 DAYS )

OTHER

TRAVEL TENANG SET ( 8 DAYS )

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Package's content

TRAVEL TENANG SET ( CI + VI ) - 8 Days

Price: RM110.00

TRAVEL TENANG SET ( TM 2/3 Form )

Price: RM5.00

TRAVEL TENANG SET ( Towing & Breakdown Service ) - 8 Days

Price: RM12.00

BASIC SET ( 8 DAYS )

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Package's content

BASIC SET ( Compulsory Insurance ) - 8 Days

Price: RM22.00

BASIC SET ( TM 2/3 Form )

Price: RM5.00

BASIC SET ( Towing & Breakdown Service ) - 8 Days

Price: RM12.00

TOWING & BREAKDOWN SERVICE ( 8 DAYS )

Below are the provided services

Towing & Breakdown Service ( 8 Days ) is included in the package, the package will automatically exclude the service if you are not eligible.

Towing & Breakdown Services ( 8 Days ) details :

Only for customer that enter via Bukit Kayu Hitam, Padang Besar ,Wang Kelian and Durian Burung border.
Cover for free within Songkhla, Satun and Patthalung Province.
Will provide the coverage for first 25km outside the province for free and charge 30 - 50 baht per kilometer after the first 25km.

You are not eligible for Towing & Breakdown Service ( 8 Days )

Please choose the following

I wish to include the "Towing & Breakdown Service"

I don't need the "Towing & Breakdown Service"

Please choose the following

I wish to include the "Towing & Breakdown Service"

I don't need the "Towing & Breakdown Service"

Please choose the following

I wish to include the "Towing & Breakdown Service"

I don't need the "Towing & Breakdown Service"

Towing & Breakdown Service ( 8 Days )

Price: RM12.00

TM 2/3 Form

TM 2/3 Form ( Inbound & Outbound Form )

Yes

No

TM 2/3

Price: RM5.00

You will be given 2 set(s) for one car, one for INBOUND, another for OUTBOUND. We will fill-up the details for you.

How many person(s) entering Thailand ?

Thailand SIM Card

Add-on Thailand SIM Card ?

Yes

No

Thailand SIM Card

DTAC

TRUE

Quantity

DTAC / TRUE Thailand SIM Card with Unlimited Data 7 Days + Hotspot.

🛒 Cart Item 🛒

You can check the item you selected before filling up the form

No payment items has been selected yet

Car Details

Please fill-up the details as per requested.

Car Ownership :

Personal / Private Car

Company Car

Authorised Driver Passport Name :

Car Owner Full Name

Car Grant Company Full Name

Car Owner ID No.

Car Grant Company ID No.

Car Grant Full Address

Full address including postcode, city and state.

Car Plate No.

Car Brand / Model

Car Chassis No.

Car Engine Capacity ( CC )

Car Year Made

Car Color

Select the closest color to your current car color

Is the owner ( Mr/Mrs/Ms. ) following the trip?

Yes

No

Authorised Driver Passport Name :

Checkbox Field

The details are correct and I wish to proceed.

Driver & Passenger details

Please fill up the details based on PASSPORT / BORDER PASS for all person(s) that will be entering Thailand

Owner / Driver 's Details

Passport Full Name

Passport No.

Date of Birth

Country

Gender

Male

Female

Passenger #1

Passport Full Name

Passport No.

Date of Birth

Country

Gender

Male

Female

Passenger #2

Passport Full Name

Passport No.

Date of Birth

Country

Gender

Male

Female

Passenger #3

Passport Full Name

Passport No.

Date of Birth

Country

Gender

Male

Female

Passenger #4

Passport Full Name

Passport No.

Date of Birth

Country

Gender

Male

Female

Passenger #5

Passport Full Name

Passport No.

Date of Birth

Country

Gender

Male

Female

Passenger #6

Passport Full Name

Passport No.

Date of Birth

Country

Gender

Male

Female

Passenger #7

Passport Full Name

Passport No.

Date of Birth

Country

Gender

Male

Female

Passenger #8

Passport Full Name

Passport No.

Date of Birth

Country

Gender

Male

Female

Passenger #9

Passport Full Name

Passport No.

Date of Birth

Country

Gender

Male

Female

Checkbox Field

The details are correct and I wish to proceed.

Checkout Section

Select where you wish to receive your PDF

WhatsApp No.

Please make sure this is the correct Whatsapp. No. to receive the PDF

Email

Please make sure this is the correct Email Address to receive the PDF

Delivery Address 📮

Address Line 1

Address Line 2

City

State

Zip Code

Country

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No payment items has been selected yet

SEDAN / MPV / SUV

Customer Details

Documents Collection

Order Menu

Package's content

Package's content

🛒 Cart Item 🛒

Car Details

Driver & Passenger details

Checkout Section

🛒 Cart Item 🛒

ATTENTION