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Tell us a little about yourself We understand how important your privacy is and will protect your personal information. By providing your email or mobile phone details you are agreeing that we may contact you regarding this quote. 
What insurance product would you like a quote on? Personal Business Life 
Title [-- PLEASE SELECT --] Mr Ms Mrs Miss Dr Prof First Name Surname ID Number Mobile Number +27 +264 Daytime Number +27 +264 Email Address What would you like to insure? Your Car Home or Other Insurance 
Comments 

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Please can you supply the following additional information so that we can tailor make your quote based on your specific information. To ensure complete security a One Time Secure PIN (OTP) has been sent to the mobile number you supplied. You will be required to supply this OTP as an extra security measure during the process of this quote. Street Name And Number Suburb Enter at least 3 letters to search District Province Post Code Marital Status [-- PLEASE SELECT --] MARRIED SINGLE DIVORCED WIDOWED LIVING TOGETHER Occupation Enter at least 3 letters to search Have you, in the last three years, had any damages or losses, resulting from accidents, theft, hijack or any other cause, in connection with any VEHICLES you insured or intend covering with us, whether a claim was submitted or not? Yes No 


Incident Date Incident Type Amount 
Please click on the Add button to add incidents for the past 3 years. 
Your insurance history

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Do you currently have insurance on your car or household contents? Yes No 
How long have you held this insurance? [-- PLEASE SELECT --] 0-3 MONTHS 3-6 MONTHS 6-12 MONTHS 1-2 YEARS 2-3 YEARS 3-5 YEARS 5-10 YEARS 10+ YEARS 
Regular driver details
It is imperative that you supply us with the correct information regarding the person who drives this vehicle most often as this is essential to determine the premium. Will you drive the car more than anyone else? Yes No 
Will the car be used privately or for business? [-- PLEASE SELECT --] PRIVATE CLIENT VISITS AND MEETINGS - ADHOC CLIENT VISITS AND MEETINGS - REGULAR Driver First Name Driver Surname Driver ID Number Daytime Number +27 +264 Mobile number +27 +264 Driver's Marital Status [-- PLEASE SELECT --] MARRIED SINGLE DIVORCED WIDOWED LIVING TOGETHER Driver's Occupation Enter at least 3 letters to search Street Name And Number Suburb Enter at least 3 letters to search District Province Post Code 
Tell us about the car

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Year of Manufacture [-- PLEASE SELECT --] 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 Make Model Enter at least 1 letter to search Colour [-- PLEASE SELECT --] BEIGE BLACK BLUE BLUE ANTROCITE BROWN BURGUNDY CHAMPAGNE CHARCOAL COPPER CREAM GOLD GREEN GREY MAROON ORANGE PINK PURPLE RED SILVER WHITE YELLOW Where do you park at home? [-- PLEASE SELECT --] LOCKED GARAGE OUTSIDE - ACCESS CONTROLLED OUTSIDE - GARDEN OUTSIDE - LOCKED GATE OUTSIDE - PARKING LOT OUTSIDE - SECURITY COMPLEX OUTSIDE - STREET UNDERGROUND PARKING CONSTRUCTION SITE 
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One of our highly skilled advisors is busy calling you right now to complete your quote.We see you have not received your One Time Secure Pin (OTP). We will be contacting you shortly. Your reference number: [hlMessageNo] WHY OUT is better than IN Brochures:
Car, Home and Business Insurance
Life Insurance
Thank you
We are committed to AWESOME service and will provide you with a quote that suits your needs.
One of our highly skilled advisors is busy calling you right now to complete your quote.WHY OUT is better than IN Brochures:
Car, Home and Business Insurance
Life Insurance
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We see that you have contacted OUTsurance recently for a quote. One of our highly skilled advisors will contact you to confirm your quote requirements.

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WHY OUT is better than IN Brochures:
Car, Home and Business Insurance
Life Insurance We see that you are currently an OUTsurance client. 
Please select your requirement and an OUTsurance consultant will contact you.
Requirement FACILITY AMENDMENT / ENQUIRY CLAIM ENQUIRY Claims Department VEHICLE ACCIDENT/THEFT CLAIM VEHICLE GLASS/SOUND EQUIPMENT CLAIM BUILDINGS CLAIM CONTENTS CLAIM OUT OF THE HOUSE CLAIM Comments We see that you have recently contacted OUTsurance.
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For urgent enquiries please contact 
SALES on 08 600 60 000 and
CLIENT CARE AND CLAIMS on 08 600 70 000. 
We see that you were previously an OUTsurance client. 
Please select your requirement and an OUTsurance consultant will contact you. 
If you would like to enquire about a claim, 
kindly phone Claims on 08 600 70 000.
Requirement CAR INSURANCE CONTENTS INSURANCE BUILDINGS INSURANCE Comments The client has an active facility with OUTsurance. The message number created for Client Care is 
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Thank you
We are committed to AWESOME service and will provide you with a quote that suits your needs.
One of our highly skilled advisors will call you shortly to attend to your enquiry.WHY OUT is better than IN Brochures:
Car, Home and Business Insurance
Life Insurance


Please NotePrivate Use:You use your vehicle for social, pleasure or driving to work and back with no business OR a maximum of 7 business trips a month.
Business Use:Client visits and meetings - ad hoc: Used between 8 and 20 trips per month for an administrative function and to attend meetings. It does not include any skilled trade performed at client's premises.
Client visits and meetings - regular: Used more than 20 trips per month for an administrative function and to attend meetings. It does not include any skilled trade performed at client's premises.

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.Add Previous Incidentclose.Incident Type [-- PLEASE SELECT --] DAMAGE - ACCIDENTAL DAMAGE - CD SHUTTLE DAMAGE - FIRE DAMAGE - FLOOD DAMAGE - GLASS ONLY DAMAGE - HAIL DAMAGE - MALICIOUS DAMAGE - RADIO DAMAGE - SPECIFIED ACCESSORIES DAMAGE - STORM DAMAGE - UNSPECIFIED ACCESSORIES DAMAGE - VERMIN LOSS - ATTEMPTED HIJACK LOSS - ATTEMPTED THEFT LOSS - HIJACK LOSS - KEYS LOSS - SPECIFIED ACCESSORIES LOSS - STOLEN CD SHUTTLE LOSS - STOLEN RADIO LOSS - THEFT LOSS - UNSPECIFIED ACCESSORIES THIRD PARTY - BODILY INJURY THIRD PARTY - PROPERTY DAMAGE Incident Date 
Approximate Amount In Rands 
Claim Submitted Yes 
No 

Insurer [-- PLEASE SELECT --] 1ST FOR WOMEN INSURANCE AA INSURANCE SERVICES ABSA IDIRECT ABSA INSURANCE BROKERS ABSA INSURANCE CO AEGIS AIG ALLIANZ AUDISURE AUTO & GENERAL BUDGET INSURANCE BROKERS CGU CIB INSURANCE COMMERCIAL UNION COMPASS CONSTANTIA CROSS COUNTRY DIAL DIRECT DISCOVERY INSURE ETANA INSURANCE FEDGEN FIRST BOWRINGS/FIRST LINK FIRST CENTRAL FIRST NATIONAL INSURANCE CO GENERAL ACCIDENT GLENRAND / MIB GUARDIAN HOLLARD INSBRO INSURANCE INVESTEC IWYZE LANDMARK UNDERWRITING AGENCY MCCARTHY INSURANCE SERVICES MIWAY MOMENTUM LIFE MOMENTUM SHORT TERM INSURANCE MUA MUTUAL & FEDERAL NATSURE NEDCOR NEW NATIONAL INSURANCE NIC NSURELINE OTHER OUTSURANCE OUTSURANCE NAMIBIA PRESTASI PRICE FORBES PSG RAINBOW INSURANCE REGENT RENASA SA UNDERWRITERS SANTAM SBIB STANDARD & GENERAL STANDARD BANK TUFFSTUFF 4X4 INSURANCE UNITY VIRGIN MONEY ZURICH (SA EAGLE) 

Delete This Incident?close.Incident Type [-- PLEASE SELECT --] DAMAGE - ACCIDENTAL DAMAGE - CD SHUTTLE DAMAGE - FIRE DAMAGE - FLOOD DAMAGE - GLASS ONLY DAMAGE - HAIL DAMAGE - MALICIOUS DAMAGE - RADIO DAMAGE - SPECIFIED ACCESSORIES DAMAGE - STORM DAMAGE - UNSPECIFIED ACCESSORIES DAMAGE - VERMIN LOSS - ATTEMPTED HIJACK LOSS - ATTEMPTED THEFT LOSS - HIJACK LOSS - KEYS LOSS - SPECIFIED ACCESSORIES LOSS - STOLEN CD SHUTTLE LOSS - STOLEN RADIO LOSS - THEFT LOSS - UNSPECIFIED ACCESSORIES THIRD PARTY - BODILY INJURY THIRD PARTY - PROPERTY DAMAGE 
Incident Date 
Approximate Amount In Rands 
Claim Submitted Yes 
No 

Insurer [-- PLEASE SELECT --] 1ST FOR WOMEN INSURANCE AA INSURANCE SERVICES ABSA IDIRECT ABSA INSURANCE BROKERS ABSA INSURANCE CO AEGIS AIG ALLIANZ AUDISURE AUTO & GENERAL BUDGET INSURANCE BROKERS CGU CIB INSURANCE COMMERCIAL UNION COMPASS CONSTANTIA CROSS COUNTRY DIAL DIRECT DISCOVERY INSURE ETANA INSURANCE FEDGEN FIRST BOWRINGS/FIRST LINK FIRST CENTRAL FIRST NATIONAL INSURANCE CO GENERAL ACCIDENT GLENRAND / MIB GUARDIAN HOLLARD INSBRO INSURANCE INVESTEC IWYZE LANDMARK UNDERWRITING AGENCY MCCARTHY INSURANCE SERVICES MIWAY MOMENTUM LIFE MOMENTUM SHORT TERM INSURANCE MUA MUTUAL & FEDERAL NATSURE NEDCOR NEW NATIONAL INSURANCE NIC NSURELINE OTHER OUTSURANCE OUTSURANCE NAMIBIA PRESTASI PRICE FORBES PSG RAINBOW INSURANCE REGENT RENASA SA UNDERWRITERS SANTAM SBIB STANDARD & GENERAL STANDARD BANK TUFFSTUFF 4X4 INSURANCE UNITY VIRGIN MONEY ZURICH (SA EAGLE) 

Edit Incident Detailclose.Incident Type [-- PLEASE SELECT --] DAMAGE - ACCIDENTAL DAMAGE - CD SHUTTLE DAMAGE - FIRE DAMAGE - FLOOD DAMAGE - GLASS ONLY DAMAGE - HAIL DAMAGE - MALICIOUS DAMAGE - RADIO DAMAGE - SPECIFIED ACCESSORIES DAMAGE - STORM DAMAGE - UNSPECIFIED ACCESSORIES DAMAGE - VERMIN LOSS - ATTEMPTED HIJACK LOSS - ATTEMPTED THEFT LOSS - HIJACK LOSS - KEYS LOSS - SPECIFIED ACCESSORIES LOSS - STOLEN CD SHUTTLE LOSS - STOLEN RADIO LOSS - THEFT LOSS - UNSPECIFIED ACCESSORIES THIRD PARTY - BODILY INJURY THIRD PARTY - PROPERTY DAMAGE Incident Date 
Approximate Amount In Rands 
Claim Submitted Yes 
No 

Insurer [-- PLEASE SELECT --] 1ST FOR WOMEN INSURANCE AA INSURANCE SERVICES ABSA IDIRECT ABSA INSURANCE BROKERS ABSA INSURANCE CO AEGIS AIG ALLIANZ AUDISURE AUTO & GENERAL BUDGET INSURANCE BROKERS CGU CIB INSURANCE COMMERCIAL UNION COMPASS CONSTANTIA CROSS COUNTRY DIAL DIRECT DISCOVERY INSURE ETANA INSURANCE FEDGEN FIRST BOWRINGS/FIRST LINK FIRST CENTRAL FIRST NATIONAL INSURANCE CO GENERAL ACCIDENT GLENRAND / MIB GUARDIAN HOLLARD INSBRO INSURANCE INVESTEC IWYZE LANDMARK UNDERWRITING AGENCY MCCARTHY INSURANCE SERVICES MIWAY MOMENTUM LIFE MOMENTUM SHORT TERM INSURANCE MUA MUTUAL & FEDERAL NATSURE NEDCOR NEW NATIONAL INSURANCE NIC NSURELINE OTHER OUTSURANCE OUTSURANCE NAMIBIA PRESTASI PRICE FORBES PSG RAINBOW INSURANCE REGENT RENASA SA UNDERWRITERS SANTAM SBIB STANDARD & GENERAL STANDARD BANK TUFFSTUFF 4X4 INSURANCE UNITY VIRGIN MONEY ZURICH (SA EAGLE) 

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