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Indonesia
English
Hi,
Semi
S
Futuready Insurance
4-Wheels Vehicle (Car)
1.Vehicle Information
2.Customer Information
3.Inquiry: Get Premium
4.Order: Policy Submit
5.Submit: Upload Files
1-1. Vehicle General Information
Select Brand
Select
Please select brand. e.g: MITSUBISHI
Select Year
Select
Please select year. e.g: 2020
Select Model
Select
Please select model. e.g: XPANDER ULTIMATE
1-2. TSI Result
TSI Max
TSI Min
TSI Recommended
Year Of Manufacture
Model Name
Model Row ID
Loan TSI Amount (Loan Sum Insured)
Please enter loan amount for TSI (preset to recommended TSI amount)
1-3. Additional Input Data
Select License Area
Select
BA (Code:1)
BB (Code:1)
BD (Code:1)
BE (Code:1)
BG (Code:1)
BH (Code:1)
BK (Code:1)
BL (Code:1)
BM (Code:1)
BP (Code:1)
BN (Code:1)
A (Code:2)
B (Code:2)
D (Code:2)
E (Code:2)
F (Code:2)
T (Code:2)
Z (Code:2)
G (Code:3)
H (Code:3)
K (Code:3)
L (Code:3)
M (Code:3)
N (Code:3)
P (Code:3)
R (Code:3)
S (Code:3)
AA (Code:3)
AB (Code:3)
AD (Code:3)
AE (Code:3)
AG (Code:3)
W (Code:3)
DA (Code:3)
KB (Code:3)
KT (Code:3)
KH (Code:3)
DB (Code:3)
DD (Code:3)
DM (Code:3)
DN (Code:3)
DT (Code:3)
DL (Code:3)
DE (Code:3)
DG (Code:3)
DK (Code:3)
DR (Code:3)
EA (Code:3)
DH (Code:3)
EB (Code:3)
ED (Code:3)
PA (Code:3)
PB (Code:3)
Please select the area. eg.B (Code: 2)
Plate Number
Please enter the plate number. eg. B 1994 KRX
Loan Amount
Please enter the loan amount. eg.20000000
Tenor Month
Please select the tenor month. eg. 18
Disbursement Date
Please enter disbursement date. eg. 2022-02-01
Classes
Plan Name eg. MJL TLO
Insurance Company
Please enter insurance company name.
2. Customer Information
Search customer
Search
These are searched customers. Please select customer.
Select Customer
Select
These are searched customers. Please select customer.
Customer's Full Name
Please enter customer's full name.
Identity Number
KTP
Please enter insured id e.g: 1028334657887779
Nationality
Country of Nationality eg. Indonesia
Gender
Select
Male
Female
Other
Male or Female or Other
Date of Birth
Date of Birth (yyyy-mm-dd)
Place of Birth
Optional: Place of Birth. eg. Jakarta
Email
Please enter customer email address.
Mobile Phone Number
+62
e.g: 085717440266
Address
Optional: customer address eg. Jl. Rasuna Said, RT-RW 01-08 Kuningan, Jakarta Selatan
Marital Status
Select
Single
Married
Single or Married
Search Customer Job
Search
These are searched customer job.
Select Customer Job
Select
Optional: Please select customer job.
3-1. Inquiry: Get Premium
1. Vehicle Information
Brand:
Year:
Model:
Area:
Plate Number:
Loan TSI Amount:
Tenor Month:
Loan Amount:
Disbursement Date:
Classes:
Insurer Name:
2. Customer Information
Customer Name:
Nationality:
Identity Number:
Gender:
Date of Birth:
Place of Birth:
Email:
Phone:
Marital Status:
Occupation:
Address:
INQUIRY
Please check and fill in all input fields in the premium information (selecting customer, vehicle general info etc...).
3-2. Premium Result
Product Name
Insurer Name
Base Premium
Admin Fee
Service Fee
3-3. Order: Policy Information
Policy Holder First Name
Please enter customer first name.
Policy Holder Last Name
Please enter customer last name.
Is Recent Insured
Select
Yes
No
Please select "No" for new policy.
Policy Number
If "Yes", enter policy no. e.g: 1002285119098611
Premium
Total amount to be paid eg. 5007000
Rider Premium
Rider Premium eg. 5007000
Rider Discount Rate
Optional: Please enter rider discount rate. eg. 0
Rider Discount Amount
Optional: Please enter rider discount amount. eg. 0
Premium Discount Amount
Optional: Amount of discount from the basePremium eg. 3791
Premium Discount Rate
Optional: Percentage of discount to the basePremium eg. 5
Merchant Fee
Optional: if no fees applied, 0
Hardcopy Price
Optional: if not requested, 0
Coverage
Please enter coverage. eg. 235000000
Period
Please enter period. eg. 1
Effective Date
Please select the effective date. eg. (yyyy-mm-dd)
Expiry Date
Please select the expiry date. eg. (yyyy-mm-dd)
Insured Date
Please select the insured date. eg. (yyyy-mm-dd)
BPR Email
Email for sending the e-Policy to BPR
BPR Name
Bank name for sending the e-policy to BPR
3-4. Order: More Vehicle Information
Chassis No
Please enter vehicle chassis number. e.g: TEST12345
Color
Please enter vehicle color. e.g: RED METALLIC
Engine No
Vehicle Chassis Number. e.g: TEST2400
Registration No
Vehicle Registration number. e.g: B6324WXM
4-1. Order: Policy Submit
Policy Information
Is Recent Insured:
Policy Number:
Base Premium:
Rider Premium:
Premium:
Coverage:
Admin Fee:
Service Fee:
Premium Discount Rate:
Premium Discount Amount:
Rider Discount Rate:
Rider Discount Amount:
Merchant Fee:
Hardcopy Price:
Period:
Effective Date:
Expiry Date:
Insured Date:
BPR Email:
BPR Name:
More Vehicle Information
Chassis No:
Color:
Engine No:
Registration No:
SUBMIT
Please check & fill in all input fields (policy info, vehicle info etc).
4-2. Submit Policy Result
Transaction Number
Invoice ID
5. Upload Photo
Stnk (Vehicle Registration Certificate)
Attached File
Please upload customer stnk picture.
Allowed file types: jpeg, jpg; Allowed maximum file size: 300KB per file.
5. Review & Submit: Upload Files
Vehicle Information
Brand:
Year:
Model:
Area:
Plate Number:
Loan TSI Amount:
Tenor Month:
Loan Amount:
Disbursement Date:
Classes:
Insurer Name:
Customer Information
Customer Name:
Nationality:
Identity Number:
Gender:
Date of Birth:
Place of Birth:
Email:
Phone:
Marital Status:
Occupation:
Address:
Policy Information
Is Recent Insured:
Policy Number:
Base Premium:
Rider Premium:
Premium:
Coverage:
Admin Fee:
Service Fee:
Premium Discount Rate:
Premium Discount Amount:
Rider Discount Rate:
Rider Discount Amount:
Merchant Fee:
Hardcopy Price:
Period:
Effective Date:
Expiry Date:
Insured Date:
BPR Email:
BPR Name:
More Vehicle Information
Chassis No:
Color:
Engine No:
Registration No:
Uploaded File
Stnk:
Please check the uploaded files again (Allowed maximum file size per is 300 kb and only jpg files).
Upload Files Result: Fully Completed
Invoice ID
Transaction Number
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