Owner

• * The owner of the motor vehicle is:
  A natural person A legal entity
• * Owner’s age:
• * Driving experience of the owner:
• * • Have you been taken under liability for a road accident in the past 5 years?:
  

Motor vehicle

• * Motor vehicle type
  -- Car Truck Moped Motorcycle Luggage or camping trailer Freight trailer Tow-truck Bus Van Trolleybus Tram Construction equipment Forestry equipment Agricultural machinery Interfactory transport Tractor Electric truck or forklift
• * Purpose
  -- Personal use Official use Taximeter services Racing car Learner’s vehicle Rent Dangerous goods transportation Special drive-mode vehicle Test vehicle Public transport Production Business Courier services International transport
• * Vehicle registration plate
  -- A B BA BH BT C CA CC CH CM CO CP CT E EB EH H K KH M OB P PA PB PK PP T TX X XX У
• * Registration outside a district town
  Yes No
• Engine displacement :
• Total weight :
  
• Load capacity :
• Total number of seats :
• * First registration date :
• * • Would you like to obtain a Green Card certificate for traveling abroad?
  Yes No
• * • Does the vehicle have a valid Motor Casco insurance?
  Yes No
• In which company? :
• *If you wish to receive an Autocasco insurance offer, please fill in your data HERE
  NB! Upon taking out both Civil Liability and Autocasco insurance at the same company, you will be given a discount.
• Please choose your most preferable contact means:

  * Email:

  * Phone:

• *Code

  Change

* Required fields