Commercial Vehicle Proposal Form Step 1 of 4 25% Cover OptionsFrom* DD slash MM slash YYYY To DD slash MM slash YYYY Type of Plan*SelectColonialSovereignNobleJubileeAdditional CoverOption 1 Windscreen cover (200 euro) If more please give the sum insured Option 2 Cover for Trailer If yes, please give details Option 3 Cover for driving beyond the limits of a public road Option 4 Road Assistance and Accident Care Option 5 Loading/Unloading Proposer's DetailsName* Postal Address* Telephone* Email* Οccupation statusSelectEmployedSelf EmployedHousehold DutiesUnemployedStudentOtherOther Date of Birth* DD slash MM slash YYYY Identity Card No* Present Insurer Are you entitled to No-Claims Discount? YES If yes, the No. of Years12345 Second Driver DetailsName Date of Birth DD slash MM slash YYYY Year driving test passed Οccupation statusSelectEmployedSelf-EmployedRetiredUnemployedStudentHousehold DutiesAny person over 25 up to 70 and holder of driver's license for more than two years, who is the insured's employee. YES Vehicle DetailsRegistration No.* Vehicle Year* Vehicle Make* Vehicle Model* Number of passengers including driver* Date of Purchase* DD slash MM slash YYYY Value of Vehicle* Use of Vehicle Social,Domestic and pleasure and for the Insured's business Professional Carriage of Goods Hire or reward For Data Protection Company Policy Click Here. * I have read the Data Protection Company Policy posted on this website I herewith provide Royal Insurance Company Ltd (and any successors and assignees thereof), my express and unconditional consent regarding the processing and creation of data records in electronic and physical form, of all my relevant personal data, that may include sensitive data which I have declared and submitted
