02-012800700, 07080627000 +2347019391747
THIRD PARTY AUTO BASE PLUS INSURANCE
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✓Personal Information ✓Preview Kindly fill in your Cover Details Car Ownership Personal Corporate Gender Male Female Company Name RC Number First Name Last Name Other Name (optional) Phone Number Email Address Date of Birth National Identification Number State City Address Upload Document Driver's license, National ID, or International Passport (3MB Max) Vehicle Type Commercial Private Plate Number Vehicle Amount Vehicle Body Type Select vehicle body typeSedanHatchbackSUVCoupe Vehicle Make Vehicle Model Year of Make Color Select vehicle colorBlackWhiteSilverGrayRedBlueGreenYellowOrangeBrownBeigeGoldPurplePinkMaroonNavy BlueDark BlueLight BlueDark GreenLight GreenDark GrayLight GrayCreamBronzeChampagnePearl WhiteMetallic SilverMetallic GrayMetallic BlueCustom Engine Number Chassis Number Personal Contact InformationFirst NameLast NameOther NamesEmail AddressDate of BirthGenderMobile NumberNational Identification NumberStateCityAddressVehicle MakeVehicle ModelYear of MakeEngine NumberChassis NumberPlate Number Back Get Quote I, hereby consent to the collection, processing, use and the transfer of personal data to third parties (within or outside Nigeria), for the purpose of assessing whether or not I will purchase an insurance cover or for the performance of any future insurance contract and any other data processing activities which may arise therefrom between myself and Leadway Assurance Company Limited (Leadway). I affirm that I am aware and take cognizance of my rights under the relevant Data Protection Laws in Nigeria and other terms detailed in the Data Privacy Policy of Leadway available on https://www.leadway.com/privacy-policy/. I authorize and consent that any person who may be in possession of, or hereafter acquire, any information pertaining to my records may disclose such information to Leadway. Please note that once your purchase is completed, you will immediately receive a link to carry out your vehicle inspection. Kindly follow the instructions in the link to complete the inspection, or call +234 020 12800 700 or +234 701 939 1747 for any assistance.
Personal Information
Preview
First Name
Last Name
Other Names
Email Address
Date of Birth
Gender
Mobile Number
National Identification Number
State
City
Address
Vehicle Make
Vehicle Model
Year of Make
Engine Number
Chassis Number
Plate Number
I, hereby consent to the collection, processing, use and the transfer of personal data to third parties (within or outside Nigeria), for the purpose of assessing whether or not I will purchase an insurance cover or for the performance of any future insurance contract and any other data processing activities which may arise therefrom between myself and Leadway Assurance Company Limited (Leadway). I affirm that I am aware and take cognizance of my rights under the relevant Data Protection Laws in Nigeria and other terms detailed in the Data Privacy Policy of Leadway available on https://www.leadway.com/privacy-policy/. I authorize and consent that any person who may be in possession of, or hereafter acquire, any information pertaining to my records may disclose such information to Leadway.
Please note that once your purchase is completed, you will immediately receive a link to carry out your vehicle inspection. Kindly follow the instructions in the link to complete the inspection, or call +234 020 12800 700 or +234 701 939 1747 for any assistance.