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LicensedWaiter / Waitress - UnlicensedWaiterWaitressWardenWardrobe MistressWarehouse ManagerWarehouseman/WomanWarehousemanWarehousewomanWaste DealerWaste Disposal WorkerWaste Paper MerchantWatchmakerWater DivinerWater Industry WorkerWeaverWeb DesignerWeb DeveloperWeb ProgrammerWeighbridge ClerkWeighbridge OperatorWelderWelfare AssistantWelfare OfficerWelfare Rights OfficerWheel ClamperWheelwrightWhisky BlenderWholesale Newspaper Delivery DriverWill WriterWindow CleanerWindow DresserWindscreen FitterWine MerchantWood CarverWood CutterWood MachinistWood WorkerWord Processing OperatorWork Study AnalystWorks ManagerWriterYacht MasterYard ManagerYard ManYoga TeacherYouth Hostel WardenYouth WorkerZoo KeeperZoo ManagerZoologistZoology Consultant   Driving History Have you passed your driving test? YesNo Please enter the date you passed your driving test 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 Do you have any Motoring Convictions? YesNo Do you have any previous Motor Claims within the Last 5 Years? YesNo Do you have any medical conditions or disabilities that are notifiable to the DVLA ? YesNo Have you ever been convicted of any Criminal Offence? YesNo   Who will be using the vehicle? Insured Only Insured and 1 named driver Insured and Parent Your Vehicle Please enter your registration numberPlease input a valid UK vehicle registration number Make Model Body Style Year Engine CC Transmission Fuel Type Number Of Seats Number Of Doors Colour Have you purchased this vehicle? YesNo When did you purchase the vehicle? 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036 2037 2038 2039 2040 2041 Please enter the value of your vehicle - select - £0 to £999£1,000 to £1499£1,500 to £2,000£2,001 to £3,000£3,001 to £4,000£4,001 to £5,000£5,001 to £6,000£6,001 to £7,000£7,001 to £8,000£8,001 to £9,000£9,001 to £10,000£10,001 to £11,000£11,001 to £12,000£12,001 to £13,000£13,001 to £14,000£14,001 to £15,000£15,001 to £16,000£16,001 to £17,000£17,001 to £18,000£18,001 to £19,000£19,001 to £20,000£20,001 to £21,000£21,001 to £22,000£22,001 to £23,000£23,001 to £24,000£24,001 to £25,000£25,001 to £26,000£26,001 to £27,000£27,001 to £28,000£28,001 to £29,000£29,001 to £30,000£30,001 to £31,000£31,001 to £32,000£32,001 to £33,001£33,001 to £34,000£34,001 to £35,000£35,001 to £36,000£36,001 to £37,000£37,001 to £38,000£38,001 to £39,000£39,001 to £40,000£40,001 to £41,000£41,001 to £42,000£42,001 to £43,000£43,001 to £44,000£44,001 to £45,000£45,001 to £46,000£46,001 to £47,000£47,001 to £48,000£48,001 to £49,000£49,001 to £50,000Greater than £50,000 What security does the vehicle have? Factory Fitted None Factory Fitted Thatcham Approved Alarm Factory Fitted Thatcham Approved Alarm/Immobilser Factory Fitted Non-Thatcham Approved Alarm/Immobilser Factory Fitted Non-Thatcham Approved Alarm Has the vehicle been imported? YesNo Has the vehicle been modified in any way? YesNo Type of modification(s) Modification - select - Adapted For DisabilityAdditional Airbags FittedAdditional SeatingAdditional WindowsAfter-Market Exhaust System approved for road useAir ConditioningAir FilterAlarms/Immobilisers/Tracking DevicesAlloy WheelsAlphadotAltered Pedal ConfigurationAwning - UpgradedAwning - AddedBadges Indicating Increased PerformanceBar EndsBelly PanBiodegradable FuelBleed / Relief ValveBlueprintingBluetooth KitBody coloured BumpersBody KitBonnet BulgeBored-out EngineBraided Brake HosesBull BarsBumpers - AlloyBumpers - ChromeBumpers - SteelCabriolet ConversionCamper Van ConversionCar PhonesCarbon Fibre BonnetCarburettor ChangedCatalytic Converter RemovedChain GuardsChanging to a ConvertibleChassis ChangesChipping - Engine Management System ChangesChromed EngineClimate ControlCooling Fan - AddedCooling Fan - UpgradeCrash BarsCrash BungsCruise ControlDashboard ChangesDatatagDe-HandledDe-LockedDebadgedDecals/StickersDoor PoppersDriving LightsDual ControlsDump ValveDynojet KitEcoTek ValveElectronic IgnitionEmergency Services Blue LightEnd CanEngine Casing GuardsEngine Chip 0-10% BHP increaseEngine Chip 11-25% BHP increaseEngine Chip 26% plus BHPEngine TunedEngraving - CustomExhaust System ChangesExhaust System Changes - Cosmetic And PerformanceExhaust System Changes - CosmeticExhaust System Changes - PerformanceExternal RackingFairingsFibreglass PanelsFlared WheelarchesFlared WingsFog LampsFork BracesFrame ModifiedFront Spoiler/AirdamGalvanised ChassisGearing ChangeGrab RailsGraphics - Customised Promotional/AdvertisingGraphics/Decals - Decoration/Non-AdvertisingHand ControlsHandlebar Position AlteredHeated Hand GripsHigh Level Brake LightHigh RoofHoistHuggerIndicators - AddedIndicators - UpratedInduction Kit (Non-Turbo)Induction Kit (Turbo Vehicle)Infra Red ControlsIntercooler - BiggerIntercooler - Front MountInterior ChangesInternal RackingInternal ShelvingLambo Style Door ConversionLarger SpeakersLight Cluster changedLocking Wheel NutsLPG ConversionLuggage System/panniersMagnetic/Removable SignsManifoldMiscellaneous Engine AlterationsMuralsNeon Lights Under CarNitrous Oxide Kit FittedNon-standard EngineNon-standard Re-sprayOil Pressure Gauge - AddedOil Pressure Gauge - UpgradeOtherOverdrivePaint Work - Race ReplicaPainted Signs (Greater than 25% of side and door)Painted Signs (Under 25% of side and door)Parking Camera - Inside VehicleParking Camera - Outside VehicleParking SensorsPetrol Tank ChangesPop Up Roof - AddedPop Up Roof - UpgradePower Boost ValvePush Button StartQuick Shift Gear LeverRadiator BarsRally LightsRear Roof SpoilerRear Spoiler/AerofoilRear ValanceRefrigeratedRemoval Of SeatsReplacement SeatsRestrictorRight Hand Drive ConversionRoad ConversionRockslidersRoll BarsRoll CageRoof RackSatellite Navigation EquipmentScottoilerScreen ChangesSeatbelt HarnessesSeats - CustomSide Skirts/SillsSide StepsSissy BarSlick TyresSnorkelSpoilers - MultipleSports Steering WheelSpot LightsStage 1 HeadStage 2 HeadStage 3 HeadStage 4 HeadStandard Engine ReplacementSteering ChangeSteering DamperStrengthening BracketsStripesStruct BraceSump GuardSunroofSuperchargingSuspension - Airbag/HydraulicSuspension - OtherSuspension - Uprated/Lowered/Stiffened Springs & DampersSuspension ChangesTail LiftTank PadsTelematics DeviceThrottle Bodies Conversion (Non-Turbo)Throttle Bodies Conversion (Turbo)Tinted WindowsTowbarTransmission ChangesTransmission GuardTrial TyresTurbo Boost ControllerTurbo TimerTurbochargingTwin CarbUnleaded Fuel ConversionUpgraded External MirrorsUpgraded Front GrilleUpholstery ChangesUprated ActuatorUprated Anti-Roll BarsUprated BrakesUprated CamUprated ClutchUprated Fuel InjectionUprated Fuel PumpUprated Head LampsUprated Headlight BulbsUprated Stereo SystemsVinyl Wrap BodyworkWater Injection SystemWater Tank(s)Wheel SpacersWheel TrimsWheelchair Clamps/StrapsWheelchair Lift/Ramp/WinchWheels - CarbonWheels - MagnesiumWheels - WireWider TyresWider WheelsWinchWipers - AddedWipers - Upgrade What is your expected annual mileage - select - 0 to 10001001 to 20002001 to 30003001 to 40004001 to 50005001 to 60006001 to 70007001 to 80008001 to 90009001 to 1000010001 to 1100011001 to 1200012001 to 1300013001 to 1400014001 to 1500015001 to 1600016001 to 1700017001 to 1800018001 to 1900019001 to 2000020001 to 2100021001 to 2200022001 to 2300023001 to 2400024001 to 25000Greater than 25000 What will you use the vehicle for? Social Domestic and Pleasure Social Domestic and Pleasure including Commuting Business Use Who is the registered owner and keeper of the vehicle? Policyholder Additional Driver Parent Family Who is the registered keeper of the vehicle? Policyholder Additional Driver Parent Family Are you the main driver of this vehicle? YesNo Where do you keep the car at night? Drive Locked Garage Unlocked Garage Street outside home Street away from home Drive When would you like the cover to start? 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2024 at Do you have any no claims bonus? YesNo Please enter the number of years no claims 1 2 3 4 5 6 7 8 How did you hear about us? Google Facebook Cover Details Set Area @ % £0.00 Set Driving Restriction @ % £0.00 Set Driver Age Load @ % £0.00 Set Occupation Load @ % £0.00 Set Provisional Discount @ % £0.00 Set DL Held @ % £0.00 Set Vehicle Age Load @ % £0.00 Set Vehicle Group @ % £0.00 Set Vehicle Value @ % £0.00 Set Rate Load @ % £0.00 Set Mileage @ % £0.00 Total Premium (Net) £0.00 + IPT @ % £0.00 + Policy Fee £ £0.00 Total Premium £0.00 Total Commission £0.00 (Due From Broker) £0.00 Calculated FieldsProposer AgeYD_ProposerAge Proposer PostcodeYD_Postcode PostcodeAreaYD_PostcodeArea Proposer Postcode (No Space)YD_Postcode2 Total PremiumYD_BaseRate_TotalPremium £ Baserate 1YD_BaseRate Vehicle Age DVLA Group Haven Group Number Deposit AmountYD_Deposit Premium FinancedYD_PremiumFinanced 9 InstallmentsYD_9Inst Interest AmountYD_Interest Premium Including InterestYD_PremIncInt Net PremiumNetPremium Licence HeldLF_Licence Premium Amount VehicleValueCheckVehicleValueCheck ABICode NewABICodeGroupNewABICodeGroup Rate Area Mileage Rate Indentifier Driver Age