Request for Quotation

We are the largest Independent privately owned insurance brokers in the UK for arranging insurances for Diplomats, Embassy staff, Embassies & High Commissions fleet, Students from GCC Countries & International organisations of the United Nations eg. EBRD, ECMWF, IMO etc.).

We have a specialist scheme with one of the largest UK Insurance Companies. Please answer the following questions (below) to bring up further questions for you. If your occupation does not fall into the drop down list in question 1 it is unlikely we will be able to offer you a competitive quotation.

Once you fill out the form below and submit your request to us, a member of our team will aim to call you within 24 hours. We will then clarify existing details you have entered with a few more questions in order for us to try and provide you with the best possible quotation.

Alternatively, if you have multiple vehicles or are an Embassy wanting a quotation, then please do not fill in this form but please give us a call. We can also QUOTE for Foreign Plated Vehicles or High Net Worth Vehicles.


Tel: 0207 792 0123 (Option 1)
Email: info@gibukplc.com

    What is your occupation?*


    Which Embassy or High Commission do you work at/Which International organisation do you work at/Which country are you a student from?*

    Personal Details

    Title*

    First Name*

    Middle Name*

    Last Name*

    Date of Birth*

    Email Address*

    Phone Number*

    Address*

    Address 2

    Address 3

    Town / City*

    Postal Code*

    Vehicle Details

    Vehicle Registration Number*

    Is the vehicle leased or financed?*

    YesNo

    Is the vehicle in your name?*

    YesNo

    Is the vehicle Right Hand Drive?*

    YesNo

    Whose name is the vehicle under?*

    Make*

    Model*

    Value (current market value of the vehicle)*

    £

    Engine Size (cc)*

    Date of Manufacture*

    Date of Purchase*

    Estimated Yearly Mileage*

    Overnight Parking Post Code*

    Overnight Parking*

    Driver Details

    Title*

    First Name*

    Middle Name*

    Last Name*

    Date of Birth*

    Type of Licence*

    Length of Licence*

    From which country is your licence?*

    Nationality*

    How long have you been a resident in the UK*

    Do you reside at the home address?*

    YesNo

    Occupation*

    Have you had any Motor Accidents/Incidents in the last 5 years, Fault or Non-Fault on a policy in your name or on any other policy?*

    YesNo

    Have you had any Motoring Convictions in the last 5 years or Disqualifications in the last 10 years?*

    YesNo

    Do you have any Medical Conditions that are notifiable to the DVLA?*

    YesNo

    Have you ever had an insurance policy ever Cancelled, Refused, Declined or Voided?*

    YesNo

    Have you ever been declared Bankrupt, had any CCJ’s or IVA’s or been disqualified from a Company Director?*

    YesNo

    Have you ever had any Criminal Convictions?*

    YesNo

    Is there an additional driver to be named on your policy?*

    YesNo

    Second Driver Details

    Title*

    First Name*

    Middle Name*

    Last Name*

    Date of Birth*

    Type of Licence*

    Length of Licence*

    From which country is your licence?*

    Nationality*

    How long have you been a resident in the UK*

    Do you reside at the home address?*

    YesNo

    Occupation*

    Have you had any Motor Accidents/Incidents in the last 5 years, Fault or Non-Fault on a policy in your name or on any other policy?*

    YesNo

    Have you had any Motoring Convictions in the last 5 years or Disqualifications in the last 10 years?*

    YesNo

    Do you have any Medical Conditions that are notifiable to the DVLA?*

    YesNo

    Have you ever had an insurance policy ever Cancelled, Refused, Declined or Voided?*

    YesNo

    Have you ever been declared Bankrupt, had any CCJ’s or IVA’s or been disqualified from a Company Director?*

    YesNo

    Have you every had any Criminal Convictions?*

    YesNo

    Additional Details

    Have you had insurance in the UK or in the EU within the last 2 years?*

    YesNo

    Do you have a no claims bonus letter to provide us from your previous insurance company from the UK or EU and if Yes then how many years?*

    From which country is the no claims bonus letter from?*

    On which date are you looking for your insurance to start from?*

    If there is any additional information you feel is relevant or details about accidents/convictions etc. please write in the box below

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