4/6/2017 Cover Note: QUOTATION

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HAMILTON INSURANCE COMPANY: QUOTATION

Cover Note#

IO
Cover Note#

Transaction Ref#

Transaction Ref#

Transaction Date
AT
Transaction Date

Certificate of Motor Insurance
OT
Insurer

Insurer

Agent
QU

Agent

Insurance Type

Insurance Type

Vehicle Type

Vehicle Type

Policy Rate

Policy Rate

Start Date

Start Date

End Date

End Date

Period

Period

Policy

Policy

Gvt Levy

Gvt Levy

Stamp Duty

Stamp Duty

Premium Due

http://localhost/savant/quotation 1/2
4/6/2017 Cover Note: QUOTATION

Premium Due

Vehicle Details

Vehicke Reg #

Vehicle Reg#

Vehicle

Vehicle

Tax Class

Tax Class

Insured Party Details

Client ID

Client ID

Client Name

Client Name

Client Email

Client Email

Client Mobile

Client Mobile

Client Address

Client Address

Insurance Details

Vehicle Type

Vehicle Type

Insurance Type

Insurance Type

Start Date

Start Date

Expiry Date

Expiry Date

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http://localhost/savant/quotation 2/2