Request A Quote

For application to register as ELC-4-Business customer only. Walk-in customer or corporate customer who intend to buy Enhanced Liability Coverage 1 time only please email support@microcover.app for any question on rate.

Sender Information:

Company Name:	*
Company Registration No.:	*
Courier Acc No:	*
Sender Address:	*
Phone No.:	*
Fax No.:
Person To Contact:
E-Mail Address (Optional):

Object Information:

Type Of Consignment:

Document Parcel

Business Occupation:

Description of Goods (In Details):

Estimate Annual Carrying:

Max Value Per Consignment Note:

Max Daily Carrying:

Average Daily Carrying:

Company TurnOver (Optional):

Loss / Damage Experience:
(at least 2 years)

YEAR is RM

Shipment Fees:

To Cover Not To Cover

Territorial Limit (In Details):

From:
To:
or Whole Malaysia

Conveyance:

Land Air Sea

Submitted by Personnel:

Sales Team Code / Branch No. / Staff No.:

Contact No.:

E-Mail Address: