Page Comparison

Property

Description

Basic Information

Customer ID

Depends on insurance company

Customer Full Name

Free-form

Customer Short Name

Free-form

Category / Segment

Depends on insurance company

Local Branch

Depends on insurance company

Primary Language

English / Arabic / Other

Billing Address

Address Line 1

Free-form

Address Line 2

Free-form

Address Line 3

Free-form

Postal Code

Only numeric answers allowed

Country

Select from list

State / Emirate

Select from list generated based on previous selection

City

Select from list generated based on previous selection

Permanent Address

Address Line 1

Free-form

Address Line 2

Free-form

Address Line 3

Free-form

Postal Code

Only numeric answers allowed

Country

Select from list

State / Emirate

Select from list generated based on previous selection

City

Select from list generated based on previous selection

Residential Address

Address Line 1

Free-form

Address Line 2

Free-form

Address Line 3

Free-form

Postal Code

Only numeric answers allowed

Country

Select from list

State / Emirate

Select from list generated based on previous selection

City

Select from list generated based on previous selection

Communication

Communication Type 1

Home / Mobile / Other

Communication Phone Number 1

Area code selection option and 9-10 additional digits permissable

Communication Type 2

Home / Mobile / Other

Communication Phone Number 2

Area code selection option and 9-10 additional digits permissable

Communication Type 3

Home / Mobile / Other

Communication Phone Number 3

Area code selection option and 9-10 additional digits permissable

Email ID

Must be a valid email address (i.e., include @ followed by domain)

Alternate Email ID

Must be a valid email address (i.e., include @ followed by domain)

Background and Family

Gender

Male/Female

Date of Birth

dd/mm/yyyy

Marital Status

Married/Single

Education Background

High School/ Bachelor's/ Masters/ PhD/ Other

Nationality

Select from list

Dual Nationality

Yes / No

Second Nationality (if applicable)

Select from list

Salutation

Mr./ Ms./ Mrs./ Dr./ Other

Country of Birth

Select from list

City of Birth

Select from list generated based on previous selection

Religion

Christian/ Muslim/ Jewish/ Hindu/ Buddhist/ Other

Mother's Maiden Name

Free-form

Spouse Name

Free-form

Spouse Date of Birth

dd/mm/yyyy

Spouse Employment Details

Employed/ Unemployed

Spouse Phone Number

Area code selection option and 9-10 additional digits permissable

Number of Children

Only numeric answers allowed

Employment

Profession

Free-form

Profession Description

Free-form

Employer Name

Free-form (or company name in case of self-employment)

Employer Address

Free-form (or company name in case of self-employment)

Employment Type

Select from list of options (e.g., Employed, Self-Employed, Retired, Unemployed)

Employment Location

Free-form

Nature of Business

Select from list of categories (e.g., Law, Finance, Medicine)

Designation

Free-form

Source of Income

Free-form (e.g. salary / dividends from ownership)

Income Currency

Select from a list of options (e.g., AED, USD, SAR)

Montly Income

Only numeric answers allowed (in AED)

Annual Income

Only numeric answers allowed (in AED)

Employment Start Date

dd/mm/yyyy

Identification

EID Number

Only 15 digits permissible

EID Expiry Date

dd/mm/yyyy

Passport Issue Country

Select from list

Passport Number

Only numeric answers allowed

Passport Issue Date

dd/mm/yyyy

Passport Expiry Date

dd/mm/yyyy

Visa Number

Only numeric answers allowed

Visa Issue Country

Select from list

Visa Issue Date

dd/mm/yyyy

Visa Expiry Date

dd/mm/yyyy

UAE Driving License Number

Only 7 digits permissible

UAE Driving License Issue Date

dd/mm/yyyy

UAE Driving License Issuing Emirate

Select from drop-down list (e.g., Dubai, Ajman, Abu Dhabi)

Mulkiya Card

pdf attachment

Home Country Driving License Number

Free-form

Account Information

Bank Account Number

Free-form (may vary by bank and country)

IBAN

Free-form (may vary by bank and country)

Swift Code 

Free-form (may vary by bank and country)

Name on Account

Free-form

Bank Name

Free-form

Home Branch

Free-form (may vary by bank and country)

Type of Account

Free-form (may vary by bank and country)

Emergency Contacts

Emergency Contact 1 Name

Free-form

Emergency Contact 1 Relationship

Free-form

Emergency Contact 1 Phone Number

Area code selection option and 9-10 additional digits permissable

Emergency Contact 1 Email Address

Must be a valid email address (i.e., include @ followed by domain)

Emergency Contact 2 Name

Free-form

Emergency Contact 2 Relationship

Free-form

Emergency Contact 2 Phone Number

Area code selection option and 9-10 additional digits permissable

Emergency Contact 2 Email Address

Must be a valid email address (i.e., include @ followed by domain)

Property

Description

Insured Vehicle

Car Make

Drop-down list of car makes (e.g., Toyota, Lexus, Honda)

Car Model

Drop-down list of models based on previous selection

Car Model Year

Drop-down selections (1900-present year)

Car Purchase Date

dd/mm/yyyy

Car Specification

Drop-down selections (Light vehicle, truck, etc.)

Estimated Value

Only numeric answers allowed (in AED)

Date of Registration

dd/mm/yyyy

Vehicle Passing Certificate

pdf attachment

Dealers Quote

quote from dealer reflecting all costs (out-the-door price)

Chassis Number

Only numeric answers allowed

Engine Number

Only numeric answers allowed

Country of Origin

Select from list

Vehicle Color

Select from list

Plate Number

Free-form

Plate Code

Free-form

Vehicle Mileage

Only numeric answers allowed (in km)

Vehicle Weight

Only numeric answers allowed (in kg)

Traffic Code Issuing Emirate

Select from drop-down list (e.g., Dubai, Ajman, Abu Dhabi)

Traffic ID Number

Only numeric answers allowed

Vehicle History

Vehicle imported / modified / declared as total loss before

Driving History

More than 1 year of driving experience

First Time Registration

Yes/No

Vehicle Mortgage

Pending mortgage amount on the vehicle

Policy

Policy Number

Only numeric answers allowed

Policy Issue Date

dd/mm/yyyy

Policy Expiry Date

dd/mm/yyyy

Coverage Type

Select from drop-down list (e.g., Full,

Partial, Other) - may vary by insurance company

Policy Limits

Free-form

Policy Exclusions

Free-form

Coverage Amount

Only numeric answers allowed (in AED)

Coverage Start Date

dd/mm/yyyy

Coverage End Date

dd/mm/yyyy

Previous Policy Insurer

Free-form

Previous Policy Start Date

dd/mm/yyyy

Previous Policy Expiry Date

dd/mm/yyyy

Any previous claims?

Yes/No

If yes, provide amount and details

Only numeric answers allowed (in AED)

for amount and free-form for details

Add-Ons

Drivers Personal Accident

Driver accidental coverage included?

Passengers Personal Accident

Passenger accidental coverage included?

Property

Description

Premium

Policy Premium Value

Only numeric answers allowed (in AED)

Total value of approved claims last 12 months

Only numeric answers allowed (in AED)

Number of claims last 36 months

Only numeric answers allowed

Number of approved claims last 36 monthsPolicy Premium Payment Period

Select from drop-down list (e.g., Monthly, Bi-annually, Annually)

Premium Payment Records

pdf attachment

Outstanding Balances

Only numeric answers allowed

(in AED)

Claims

Number of claims last 36 12 months

Only numeric answers allowed (in AED)

Number of approved claims last 36 12 months

Only numeric answers allowed (in AED)

Claim 1 Date

dd/mm/yyyy

Claim 1 Description

Free-form

Claim 1 Status

Select from drop-down list (e.g., Submitted, Pending, Complete)

Claim 1 Amount

Total value of claims last 12 months

Only numeric answers allowed (in AED)

Deductible Amount 1Total value of approved claims last 12 months

Only numeric answers allowed (in AED)

Claim 2 Date

dd/mm/yyyy

Claim 2 Description

Free-form

Claim 2 Status

Select from drop-down list (e.g., Submitted, Pending, Complete)

Claim 2 AmountNumber of claims last 36 months

Only numeric answers allowed

Number of approved claims last 36 months

Only numeric answers allowed (in AED)

Total value of claims last 36 months

Only numeric answers allowed (in AED)

Total value of approved claims last 36 months

Only numeric answers allowed (in AED)

Claim 1 Date

dd/mm/yyyy

Claim 1 Description

Free-form

Claim 1

Status

Select from drop-down list (e.g., Submitted, Pending, Complete)

Claim 1 Amount

Only numeric answers allowed (in AED)

Deductible Amount 1

Only numeric answers allowed (in AED)

Claim 2 Date

dd/mm/yyyy

Claim 2 Description

Free-form

Claim 2 Status

Select from drop-down list (e.g., Submitted, Pending, Complete)

Claim 2 Amount

Only numeric answers allowed (in AED)

Deductible Amount 2

Only numeric answers allowed (in AED)