Basir Agency (001460012-D) is a registered agent for Etiqa Takaful Berhad, a subsidiary of Maybank. Agency Code is T5100404. You are invited to register your vehicles / petrol stations / shops / businesses for Insurance (Takaful) Renewal.
Please fill up the details below for us to serve you better. You can also upload your registration card and old cover note for reference/submission.
Owner's Name
*
Your Email Address
*
Contact No
*
Address
List of Vehicles (Reg.No & Current Policy Expiry)
Attachment (Registration Card / Old Cover Note or Policy)
Attachment (Registration Card / Old Cover Note)
Attachment (Registration Card / Old Cover Note)
Attachment
Tick for Other Services Enquiries
Unit Trust Investment - Cash
Unit Trust Investment - EPF
Life Insurance (Takaful)
Business Insurance (Takaful)
Credit Card Debt Restructuring
Personal Loan
Career as Unit Trust Consultant
Career as Takaful Agent
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The details submitted will not be disclosed to any third party. Should you have any problem with the above form, please call 017-3355733 (Basir)
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