Thailand Hotline: 0 2653 2994
Home
About us
Special Offers
Claims Centre
Careers
Contact Us
Free Quote
Golf Insurance Cover in Thailand | Online Quote
Golf Insurance
Please complete the details below and note that cover is NOT effective UNTIL you have received written confirmation from us.
Salutation
Mr.
Ms.
Mrs.
Dr.
*
First Name
*
Last Name
*
ID or Passport
*
Daytime Phone
Mobile Phone
Fax
Date of Birth
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
Month of Birth
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Year of Birth
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1925
1924
1923
1922
1921
1920
*
Email
Insurance Details
*
Name of Golf Club
Start Date
Do you suffer from any disabilities or infirmities?
--- Select ---
Yes
No
Have any insurers ever cancelled, declined or refused to renew any policies held by you?
--- Select ---
Yes
No
Have you had a "hole-in-one" during the past 3 years? If yes state the golf course(s) and date(s) below
--- Select ---
Yes
No
Have you sustained any loss, damage, liability or accident indemnified under any golf insurance cover during the past three years?
--- Select ---
Yes
No
If you have answered "Yes" to any of the above please give details
Premium
