Thailand Insurance Package – Specific Car

Customer Details

Buyer's Name

Phone No

Email Address

Travel Date

Select entrance ( Border )

Select departure ( Border )

Documents Collection

⚠️IMPORTANT :

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

Self Collect Point :

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

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

8 DAYS ( Package A )

8 DAYS ( Package B )

Others

PACKAGE A (ALL-IN)

If the image is too small, kindly zoom in for better view.

Package's content

Package A ( CI + VI ) - 8 Days

Price: RM110.00

Package A ( TM 2/3 Form )

Price: RM5.00

Package A ( Towing & Breakdown Service ) - 8 Days

Price: RM12.00

PACKAGE B (PREMIUM)

If the image is too small, kindly zoom in for better view.

Package's content

Package B ( Compulsory Insurance ) - 8 Days

Price: RM22.00

Package B ( TM 2/3 Form )

Price: RM5.00

Package B ( Towing & Breakdown Service ) - 8 Days

Price: RM12.00

TOWING & BREAKDOWN SERVICE (8 DAYS)

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

Towing & Breakdown Services (8 Days) Details:

Only for customers 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 coverage for the first 25km outside the province for free, then 30–50 baht per kilometer after that.

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"

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 Form

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

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

Quantity

Thailand SIM Card

Price: RM25.00

🛒 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

Car Plate No.

Car Brand / Model

Car Chassis No.

Car Engine Capacity ( CC )

Car Year Made

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.

Email

🛒 Cart Item 🛒

You can check the item you selected before continue to payment gateway.

No payment items has been selected yet

SEDAN / MPV / SUV - SPECIFIC CAR

Customer Details

Documents Collection

Order Menu

PACKAGE A (ALL-IN)

Package's content

PACKAGE B (PREMIUM)

Package's content

🛒 Cart Item 🛒

Car Details

Driver & Passenger details

Checkout Section

🛒 Cart Item 🛒