Classic
Extra
Premium

1. Personal data

Birth date
Sex / entity
Zip code
Driving licence's age
*I have AXA household insurance policy
Programs:
Classic
Extra
Premium

2. Insurance data

Plate number

Vehicle usage

Centimeters Cubed (C.C)
Vehicle value (today)
Vehicle age
Is the car hybrid?

 

Is the car cabrio?
Number of claims the last 3 years
Insurance duration
I want to add the Road Assistance cover
I want to add the Legal Protection cover