AXA Insurance in France : car, house, health. British Team.

UK PLATED CAR IN FRANCE

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Name and Surname

E-mail

Phone number (with Country code)

Date of Birth (DD/MM/YYYY)

Occupation

UK full address with Post Code

Marital status

Full UK licence (years)

Do you have any disabilities ?

Has your insurance been canceled ?

Have you ever had any non motor convictions ?

Ever refused insurance ?

Restrictions ?

Increased premium ?

How many years no claim bonus do you have

Have you had any accident or claim in the last 6 years ?

Have you previously held insurance ?

Estimated vehicle value ? (£)

Date or purchase ?

Had your vehicle been modified ?

Does your vehicle have other than standards fittings ?

Are you the owner-keeper of the vehicle ?

Who will drive the vehicle, the proposer only ?

If partner also drive, name, date of birth, occupation ?

Message and details we need to know :