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Ultimate Car Protector - Contact Me / Employment / Additional Options / Documents / Review



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| 1. Personal Info

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Yes! I would like to be contacted to get a quote for my car insurance.

Note: Upon receipt of this online form, an MSIG Insurance Specialist will be contacting you within the next 5 working days.


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Ultimate Car Protector is a product of and underwritten by MSIG Insurance (Singapore) Pte. Ltd. ("MSIG Insurance") and not Standard Chartered Bank.


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Full name as in NRIC:
Full name as in NRIC:
Contact No.:
Email address:
Month of Insurance expiry:

Referral Details

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Subject to the available credit limit at the time of processing,the outstanding balance from the respective card issuers listed will be transferred and debited to your Standard Chartered Credit Card account in the order specified in this form.

Referral’s Name:
Referral’s email address:

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