Qatar Islamic Insurance Company

Basic

Choose Plan

Additional Details

Submit

Insured Information

Branch

Insured Type

Source Type

Partner Code

Customer Code

Payment Category

Tell us about your vehicle

Vehicle Make

Vehicle Model

Model Year

Brand New

Yes No

Plate Type

Number of Cylinders

Value of Vehicle

Vehicle Usage

Number of Passengers

Body Type

Loading Capacity

Qatar/Company ID

Promo Code

Please enter the captcha

Information

Fields in red color are mandatory

Reference No :

Body Type :

Brand New :

Read From Istimara

Select Your Plan

Information

Fields in red color are mandatory

Reference No

Product

Premium (QAR)

Value(QAR)

Commission(QAR)

Deductible (QAR)

+

More Vehicle Info...

Vehicle :

Body Type :

Model Year :

Cylinder :

Passengers :

Capacity :

Insured Information

Insured Name

Mobile Number

P.O Box

Email Address

Policy Start Date

Policy End Date

Insured Name Arabic

Nationality

Qatar/Company ID Expiry Date

Date of birth

Occupation

Address

Driving License No

Previous Policy Number

Prev. Policy Expiry Date

Remarks

Tell us about your vehicle

Chassis Number

Plate No

Engine Number

Vehicle Color

Number of Doors

Engine Capacity

Mortgage Bank

Protection Cover Description

Value of Protection Cover

Document Upload

Vehicle Frontview picture with Number plate

Vehicle Backview picture with Number plate

Vehicle Leftside view

Vehicle Rightside view

Istimara / Vehicle Registration Card - Front Side

Istimara / Vehicle Registration Card - Back Side

Qatar Id / Passport

Information

Fields in red color are mandatory

Reference No :

Premium (QAR) :

Product :

Value(QAR) :

Deductible (QAR) :

+

More Vehicle Info...

Insured Age :

Brand New :

Vehicle :

Body Type :

Model Year :

Vehicle Age :

Cylinder :

Passengers :

Capacity :

Prev Policy No :

Prev Policy Exp :

Code	Name

Code	Name