Quote Request – AAS insurance agency


Terms and conditions (Promotion Code AAS108)
  • This promotion is open to members of Automobile Association of Singapore (AA) who have successfully submitted a valid motor insurance quote request to AAS Insurance Agency (AAS-IA) via www.aas-insurance.com.sg/quote-request/, with the promo code AAS108, between 13th April 2020 to 30th June 2020.
  • The first 500 successful submissions will receive petrol discount vouchers worth $108. The vouchers will be in denomination of $6. The vouchers will be delivered by post to the mailing address provided in quote request form, approximately 5 weeks after submission.
  • AA retains the right to make all decisions as it shall deem fit relating to this promotion, participants, vouchers, duration and any and all other matters in respect of the promotion including varying these terms and conditions of the promotion. All such decisions of AA shall be final and binding on all participants. No correspondence or appeals shall be entertained.
  • AA may at its sole discretion substitute or replace the voucher with any other gift of equal or similar value at any time without prior notice being given.
  • All gifts are non-transferable and cannot be exchanged for cash or be partially or wholly replaced or substituted with any other goods, services or benefits.
  • AA shall not be liable in any manner whatsoever for any claims, losses, damages, costs, interests or expenses arising out of this promotion, the redemption or the use of the vouchers.
  • The vouchers are subject to the respective issuers’ terms and conditions.
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.

Personal Data Collection Statement

AAS Insurance Agency Pte Ltd. ("AAS-IA") recognises its obligations under the Personal Data Protection Act 2012 (PDPA) which includes the collection, use and disclosure of personal data for the purpose for which an individual has given consent to. The personal data collected by AAS-IA includes all personal data provided in this form, or in any document provided, or to be provided to us by you or your insured persons or from other sources, for the purpose of this insurance quotation request, application or transaction. It includes all personal data for us to generate motor insurance quotations from our appointed insurance partners. You may not alter any of the wordings in this "Personal data collection statement". Any attempt to do so will be of no effect.

Purpose of collection

We may collect and use the personal data to: generate motor insurance quotations from our appointed insurance partners; process, administer and/or manage your relationship, account and policy with our appointed insurance partners; carry out your instructions or responding to any enquiries by you.

Disclosure of personal data

We may disclose personal data belonging to you and your insured persons for the purpose set out in Section 1 above to the following parties: a. Automobile Association of Singapore
b. AIG Asia Pacific Insurance Pte. Ltd.
c. Liberty Insurance Pte Ltd
d. Tokio Marine Insurance Singapore Ltd.

You may request to withdraw your consent, access or correct your personal data by contacting AAS-IA at;
Tel: 6389 4241
Email: enquiry@aas-insurance.com.sg
Service counter: 2 Kung Chong Road, #04-01 AA Centre, Singapore 159140


 I have read and agreed to the above.