Quote Request – AAS insurance agency
10 lucky submissions stand a chance to win petrol voucher worth $288 each! Terms and conditions apply.


Terms and conditions
  • This promotion is organised by AAS Insurance Agency (AAS-IA) and the promotion period is valid from 1 October 2019 till 31 December 2019.
  • The Draw is open to AA members who submits a valid request for Motor Insurance Quote on this website only (www.aas-insurance.com.sg).
  • Each AA member is eligible for one winning chance.
  • The draw will be conducted on 15 January 2020.
  • There will be 10 winners. Each winner will receive $288 worth of petrol voucher.
  • The winner will be notified by email. The prize must be claimed by 28 February 2020.
  • Late or incomplete entries will be disqualified.
  • Staff of AA Singapore and its subsidiaries are not eligible for the Draw.
  • The decision of AAS-IA is final. AAS-IA reserves the right to amend any terms and conditions without prior notice.



Personal Particulars
Title * :
Title others * :
Surname * :
Name * :
Gender * :
ID Type * :
ID others* :
NRIC / Passport No * :
Nationality * :
Nationality others * :
Date of Birth * :
Occupation * :
Work Enviroment * :
Marital Status * :
Mobile * :
Email Address * :
Address
House No. / Blk * :
Building Name :
Street Name * :
Floor Level :
Unit No :
Postal Code * :
Country * :
Driver Details
Driving License Date * :
NCD Entitlement Upon Renewal * :
Claim Experience (Past 3 years) * :
Total Claim Amount (Past 3 Years) * :
Please enter the accident details * :
Are you the main driver? * :
Is there an additional driver? * :
Is there an additional driver 2? * :
Main Driver Details

Title *
Title others* :
Name * :
NRIC / Passport No * :
Date of Birth * :
Driving License Date * :
Occupation * :
Work Enviroment * :
Marital Status * :
Driving Experience:
Relationship to Applicant * :
Claim Experience (Past 3 years) * :
Total Claim Amount (Past 3 Years) * :
Please enter the accident details * :
Additional Driver Details

Title *
Title others* :
Name * :
NRIC / Passport No * :
Date of Birth * :
Driving License Date * :
Occupation * :
Work Enviroment * :
Marital Status * :
Driving Experience:
Relationship to Applicant * :
Claim Experience (Past 3 years) * :
Total Claim Amount (Past 3 Years) * :
Please enter the accident details * :
Additional Driver 2 Details

Title *
Title others* :
Name * :
NRIC / Passport No * :
Date of Birth * :
Driving License Date * :
Occupation * :
Work Enviroment * :
Marital Status * :
Driving Experience:
Relationship to Applicant * :
Claim Experience (Past 3 years) * :
Total Claim Amount (Past 3 Years) * :
Please enter the accident details * :
Car Details
About Your Car * :
Vehicle Type :
Car Model * :
Modifications * :
Modifications Details*:
Car Registration Number * :
Year of Registration*:
Year of Manufacture*:
Type of Coverage * :
Current Insurance Company * :
Insurance Company others * :
Current Insurance Expiry Date * :
Desired New Insurance Start Date * :
Insured Vehicle Usage
Vehicle Usage * :
Promotion Code
If you are responding to one of our promotions, please enter the promotion code.


Important notice

Statement pursuant to section 25(5) of the Insurance Act (Cap. 142) -You are to disclose fully and faithfully all the facts which you know or ought to know, otherwise the policy issued hereunder may be void.

FREE Group S$10,000 Term Life (GTL) Insurance Offer
Enjoy FREE Group Term Life (GTL) Insurance coverage with every Motor Insurance Policy purchased for limited time only!
Please click here to find out more. Terms & Conditions Apply.

I wish to sign up for FREE Group Term Life (GTL) Insurance with my Motor Insurance policy.

I consent to and authorize AAS-IA to release my Personal Particulars and Address to the underwriters, Tokio Marine Life Insurance Singapore Ltd (TMLS) for purposes of administering and contacting me with regards to this FREE Group Term Life (GTL) Insurance offer.

I DO NOT wish to sign up for FREE Group Term Life (GTL) Insurance with my Motor Insurance policy. Please DO NOT contact me on the FREE Group Term Life (GTL) Insurance.