Qala Insurance Products and types Online request Motor insurance request form
Name of Insured*
Contacts*
Email
Technical information on the car (year of manufacture, model)*
The cost of the car:*
Voluntary insurance of vehicles belonging to civil servants
Deductible: 100 AZN
Campaign period: January 15 - March 15
Payment in 4 installments
Please fill in all required fields.
THANK YOU!Your request has been registered.
Name and Surname*
Your E-Mail*
Mobile number*
