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Motorbike Insurance Application

Protect your ride for less than 1% of its value with reliable and affordable coverage.

As an expat living in Bali, it’s now possible and super easy to get insured.
Fill out the form below to get started and receive your personalized proposal!

Enjoy your ride with peace of mind!


Fill out the form below to get started and receive your personalized proposal!


Enjoy your ride with peace of mind!


Contact Information


Motorbike Details

Is this motorbike new?

Is this motorbike new?
A
B


Motorbike's price


Motorbike Pictures

Front
Back
Left
Right

Who is the registered owner of the motorbike (as listed in the BPKB)

In Indonesia, the owner of a motorbike is listed inside the "Buku Pemilik Kendaraan Bermotor" (BPKB), commonly known as the "Blue Book".
Who is the registered owner of the motorbike (as listed in the BPKB)
A
B
C

What is the purpose of your motorbike?

What is the purpose of your motorbike?
A
B
C

Do you have active insurance on this motorbike

Do you have active insurance on this motorbike
A
B

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

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