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087 0571 911
/
0861 40 60 80
info@newstone.co.za
Home
About Us
Our Services
Request a Quote
Submit a Claim
Contact Us
Gallery
Vehicle Insurance Quote
Get Vehicle Insurance Quote
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Step
1
of 4
A lifestyle rating will be performed via itc during the quotating process.
Please advise if you have had any civil judgements granted against you or any member of your family in the last 5 years.
Yes
No
Are there any pending criminal actions against you?
Yes
No
Have ever been guilty of a criminal offence?
Yes
No
Your Title
*
Select Title
Mr.
Mrs.
Dr.
Ms.
Name
*
First
Last
Phone
*
Email
*
Enter Identity Number
What is your Marital Status?
Select Marital Status
Married
Divorced
Single
Widowed
What is your highest Qualification?
Select Qualification
National Senior Certificate
Diploma
Degree
Honours
Masters
Doctorate
Other
What is your Occupation?
The Risk's Address
Address Line 1
Address Line 2
City
State / Province / Region
Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia (Plurinational State of)
Bonaire, Saint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo (Democratic Republic of the)
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Kingdom of)
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland (Republic of)
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea (Democratic People's Republic of)
Korea (Republic of)
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia (Federated States of)
Moldova (Republic of)
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
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North Macedonia (Republic of)
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine (State of)
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
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Svalbard and Jan Mayen
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Province of China
Tajikistan
Tanzania (United Republic of)
Thailand
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Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
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United States Minor Outlying Islands
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela (Bolivarian Republic of)
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Have you been previously Insured?
Yes
No
The period of years you were insured for
The number of Claims / Loss experienced in the last five(5) years
Value of claims over the last five(5) years
Selected Value: R
0
Has any insurer ever cancelled / refused to insure or imposed special terms / restrictions, if yes please elaborate?
Yes
No
Elaborate
Next
Vehicle Insurance
How many Vehicles do you want to insure?
Choose 1 or 2
1
2
Vehicle type
Vehicle 1
Vehicle
Trailer
Caravan
Bike
Vehicle type (VEHICLE 2)
Vehicle 2
Vehicle
Trailer
Caravan
Bike
Vehicle Make
Vehicle 1
AC
Abarth
Alfa Romeo
Aston Martin
Audi
B.A.W
BAIC
BMW
Bently
Buick
C.A.M
CMC
Cadillac
Chana
Chery
Chevrolet
Chrysler
Citroen
Daewoo
Daihatsu
Datsun
Dodge
FAW
Ferrari
Fiat
Ford
Foton
GWM
Geely
Golden Journey
Haval
Hino
Honda
Hummer
Hyundai
Infiniti
Isuzu
Iveco
JAC
JMC
Jaguar
Jeep
Kia
Lamborghini
Land Rover
Lexus
MG
MINI
Mahindra
Maserati
Mazda
McLaren
Mercedes
Misubishi
Morris
Nash
Nissan
Opel
Peugeot
Pontiac
Porsche
Proton
Renault
Rolls-Royce
SAIC
SEAT
Saab
Smart
Soyat
SsangYong
Subaru
Suzuki
TATA
Toyota
Triumph
UD Trucks
Volkswagen
Volvo
Willys
Zotye
Vehicle Make (VEHICLE 2)
Vehicle 2
AC
Abarth
Alfa Romeo
Aston Martin
Audi
B.A.W
BAIC
BMW
Bently
Buick
C.A.M
CMC
Cadillac
Chana
Chery
Chevrolet
Chrysler
Citroen
Daewoo
Daihatsu
Datsun
Dodge
FAW
Ferrari
Fiat
Ford
Foton
GWM
Geely
Golden Journey
Haval
Hino
Honda
Hummer
Hyundai
Infiniti
Isuzu
Iveco
JAC
JMC
Jaguar
Jeep
Kia
Lamborghini
Land Rover
Lexus
MG
MINI
Mahindra
Maserati
Mazda
McLaren
Mercedes
Misubishi
Morris
Nash
Nissan
Opel
Peugeot
Pontiac
Porsche
Proton
Renault
Rolls-Royce
SAIC
SEAT
Saab
Smart
Soyat
SsangYong
Subaru
Suzuki
TATA
Toyota
Triumph
UD Trucks
Volkswagen
Volvo
Willys
Zotye
Vehicle Model
Vehicle Model (VEHICLE 2)
Year
Year (VEHICLE 2)
Engine capacity
Engine capacity (VEHICLE 2)
Extras
Extras (VEHICLE 2)
Registered owner
Registered owner (VEHICLE 2)
Registered owner ID
Registered owner ID (VEHICLE 2)
How many years have passed since the usual driver was last involved in an accident
How many years have passed since the usual driver was last involved in accident (VEHICLE 2)
How many incidents has the usual driver had in the last 5 years
How many incidents has the usual driver had in the last 5 years 2
Usual driver
Usual driver (VEHICLE 2)
Usual driver's ID
Usual driver's ID (VEHICLE 2)
Usual driver's gender
Vehicle 1
Male
Female
Usual driver's gender (VEHICLE 2)
Vehicle 2
Male
Female
Usual driver's marital status
Vehicle 1
Married
Single
Divorced
Widowed
Usual driver's marital status (VEHICLE 2)
Vehicle 2
Married
Single
Divorced
Widowed
License issue date
License issue date (VEHICLE 2)
License issue code
License issue code (VEHICLE 2)
Does usual driver have 3 yr higher qualification?
Vehicle 1
Yes
No
Does usual driver have 3 yr higher qualification? (VEHICLE 2)
Vehicle 2
Yes
No
Cover
Cover (VEHICLE 2)
Use of the vehicle
Use of the vehicle (VEHICLE 2)
Sum insured
Vehicle 1: R
100000
Sum insured (VEHICLE 2)
Vehicle 2: R
100000
Extras
Extras (VEHICLE 2)
Credit shortfall
Vehicle 1: R
100000
Credit shortfall (VEHICLE 2)
Vehicle 2: R
100000
Is a Voluntary excess required?
Vehicle 1
Yes
No
Voluntary excess (VEHICLE 2)
Vehicle 2
Yes
No
How much Voluntary excess
Vehicle 1: R
100000
How much Voluntary excess (VEHICLE 2)
Vehicle 2: R
100000
Where is the vehicle parked at night
Where is the vehicle parked at night (VEHICLE 2)
Security fitted in vehicle
Vehicle 1
VSS / VESA
Tracking
Security fitted in vehicle (VEHICLE 2)
Vehicle 2
VSS / VESA
Tracking
Basic / theft excess waiver
Vehicle 1
Yes
No
Basic / theft excess waiver (VEHICLE 2)
Vehicle 2
Yes
No
Car hire (Caresure)
Vehicle 1
Yes
No
Car hire (Caresure) (VEHICLE 2)
Vehicle 2
Yes
No
4x4 extention
Vehicle 1
Yes
No
4x4 extention (VEHICLE 2)
Vehicle 2
Yes
No
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Next
Small Craft
Luxury vehicle extension
Choose Yes or No
Yes
No
Type of craft
Make
Length
Year
Max speed
Selected Value:
0
kmph
Sum insured
Selected Value: R
1000000
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Next
Value Added Products
Do you want Value Added Products
Choose Yes or No
Yes
No
Home Assist
Choose Yes or No
Yes
No
Roadside assistance
Choose Yes or No
Yes
No
Brolink assist
Choose Yes or No
Yes
No
Emergency medical ass
Choose Yes or No
Yes
No
Efs car hire
Choose Yes or No
Yes
No
Legal expenses
Choose Yes or No
Yes
No
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