Motorbike Insurance Form

Do you have active insurance on this motorbike?

yes

Any insurance claims on this motorbike in the past 2 years?

yes

STNK or STCK (for new vehicles)

Pictures of the vehicles (4 sides)

Adress In Indonesia

Passeport/ KTP or NPWP (if company)

What is the purpose of your motorbike?

Personal use (Used for private, non-commercial purposes)

Business use (Used for rental, delivery, taxi, or other commercial services)

Company use (Owned by a company and used by employees for work-related activities)

Motorbike Value

Please enter the current market value of your motorbike (in IDR). This will be the insured amount used to calculate your premium.

Coverage

Total Loss Only (TLO) – Accident, Fire, Theft
Your motorbike is covered if it’s stolen or suffers damage equal to 75% or more of its value. The premium is only 0.8% of your motorbike’s value per year.
All Risk (Comprehensive) coverage is only available for very high-value motorbikes and handled on a case-by-case basis. It is not offered for most standard or common motorbikes.

Add-ons, optional
You can enhance your protection with the following add-ons. They are affordable, and we recommend including them for extra peace of mind.

Natural Disaster (act of God)

Covers earthquake, flood, volcanic eruption, etc. Only IDR 45,000/year for a 30M bike as exemple

Natural Disaster (act of God)

yes

Riot, Strike, Civil Commotion and Terrorism Sabotage

Only IDR 21,000/year for a 30M bike as exemple

Riot, Strike, Civil Commotion and Terrorism Sabotage

yes

Driver Personal Accident

Covers the driver in case of injury, disability, or death from a motorbike accident, with medical cost support and financial compensation up to IDR 10 million.

Only IDR 50,000/year

Driver Personal Accident

yes

Passenger Personal Accident

Protects your passenger in case of injury, disability, or death from a motorbike accident, with medical cost support and financial compensation up to IDR 10 million.

Only IDR 10,000/year

Passenger Personal Accident

yes

Third Party Liability

Covers costs if you injure someone or damage another person’s property in an accident. The protection limit depends on your motorbike, starting from IDR 10 million and up to IDR 100 million.

Price is 1% of the limit value

Third Party Liability

yes

Motorbike Insurance Form

Do you have active insurance on this motorbike?

Any insurance claims on this motorbike in the past 2 years?

STNK or STCK (for new vehicles)

Pictures of the vehicles (4 sides)

Adress In Indonesia

Passeport/ KTP or NPWP (if company)

What is the purpose of your motorbike?

Motorbike Value

Coverage

Natural Disaster (act of God)

Riot, Strike, Civil Commotion and Terrorism Sabotage

Driver Personal Accident

Passenger Personal Accident

Third Party Liability

Contact Information

Do you already have active coverage at BPI?

Have you already been in touch with someone at BPI, or were you referred by a company (please mention the name)?

Account Name