Michael Henchy Insurances Limerick Ireland - motor,fleet,house,property,liability, life, pensions, professional indemnity,car
About You
Age
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Gender
M
F
Licence
Select
Full Irish
Provisional Irish
Date FULL Licence Obtained
DD
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MM
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CCYY
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1911
1910
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1908
1907
1906
1905
Occupation
Select occupation category
Accounting
Agriculture
Banking/Financial
Bar Staff/Entertainment
Building
Catering
Education
Engineering/Surveying/Tech.
Factory Work
Garda/Armed Forces/Security
Health, Beauty & Fashion
Hotel Industry
Houseperson
I.T.
Insurance
Legal
Manual Employee
Marketing
Medical
Music, Sport & Cinema
Other
Other Clerical
Property Owner
Public/Civil Service/Govt.
Retired
Science
Shopkeeping
Transport/Tourism
TV, Radio & Newspapers
Unemployed
Area of Use
Select
Co Carlow
Co Cavan
Co Clare
Cork City and suburbs
Co Cork (ex. Cork City and suburbs)
Co Donegal
Dublin 1
Dublin 2
Dublin 3
Dublin 4
Dublin 5
Dublin 6
Dublin 7
Dublin 8
Dublin 9
Dublin 10
Dublin 11
Dublin 12
Dublin 13
Dublin 14
Dublin 15
Dublin 16
Dublin 17
Dublin 18
Dublin 20
Dublin 22
Dublin 24
Dublin 6W
Dublin County
Galway City and suburbs
Co Galway (ex. City and suburbs)
Co Kerry
Kildare within 25 Miles of Dublin
Kildare outside 25 Miles of Dublin
Co Kilkenny
Co Laois
Co Leitrim
Limerick City and suburbs
Co Limerick (ex. City and suburbs)
Co Longford
Co Louth
Co Mayo
Meath within 25 Miles of Dublin
Meath outside 25 Miles of Dublin
Co Monaghan
Co Offaly
Co Roscommon
Co Sligo
Co Tipperary North
Co Tipperary South
Tipperary City
Waterford City and suburbs
Co Waterford (ex. City and suburbs)
Co Westmeath
Co Wexford
Wicklow within 25 Miles of Dublin
Wicklow outside 25 Miles of Dublin
Renewal Date
DD
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MM
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YYYY
2004
2005
About Your Car
Make
Year of Registration
Select
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
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1986
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1984
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1955
Value
€
C.C.
Current Insurer
Annual Mileage
Select
1-5000
5001-10000
>10000
If your Spouse/ Partner has a Car then enter the CC
If this is a commercial vehicle,
please specify exact use and nature of goods carried
Discounts
No. of consecutive years claims free driving . . .
(please select ONE of the following - for details click here)
...
under your own name
Select
0
1
2
3
4
More
OR
...
as a named driver
Select
0
1
2
3
4
More
Named Driver(s)
Age
Gender
Licence
Relationship
Occupation Category
1
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--
M
F
Select
Full Irish
Provisional Irish
Select
Spouse
Partner
Father
Mother
Brother
Sister
Son
Daughter
Other Family
Unrelated
Other
Select
Accounting
Agriculture
Banking/Financial
Bar Staff/Entertainment
Building
Catering
Education
Engineering/Surveying/Tech.
Factory Work
Garda/Armed Forces/Security
Health, Beauty & Fashion
Hotel Industry
Houseperson
I.T.
Insurance
Legal
Manual Employee
Marketing
Medical
Music, Sport & Cinema
Other
Other Clerical
Property Owner
Public/Civil Service/Govt.
Retired
Science
Shopkeeping
Transport/Tourism
TV, Radio & Newspapers
Unemployed
2
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17
18
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91
92
93
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95
96
97
98
99
--
M
F
Select
Full Irish
Provisional Irish
Select
Spouse
Partner
Father
Mother
Brother
Sister
Son
Daughter
Other Family
Unrelated
Other
Select
Accounting
Agriculture
Banking/Financial
Bar Staff/Entertainment
Building
Catering
Education
Engineering/Surveying/Tech.
Factory Work
Garda/Armed Forces/Security
Health, Beauty & Fashion
Hotel Industry
Houseperson
I.T.
Insurance
Legal
Manual Employee
Marketing
Medical
Music, Sport & Cinema
Other
Other Clerical
Property Owner
Public/Civil Service/Govt.
Retired
Science
Shopkeeping
Transport/Tourism
TV, Radio & Newspapers
Unemployed
3
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17
18
19
20
21
22
23
24
25
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27
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30
31
32
33
34
35
36
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38
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40
41
42
43
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50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
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67
68
69
70
71
72
73
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75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
--
M
F
Select
Full Irish
Provisional Irish
Select
Spouse
Partner
Father
Mother
Brother
Sister
Son
Daughter
Other Family
Unrelated
Other
Select
Accounting
Agriculture
Banking/Financial
Bar Staff/Entertainment
Building
Catering
Education
Engineering/Surveying/Tech.
Factory Work
Garda/Armed Forces/Security
Health, Beauty & Fashion
Hotel Industry
Houseperson
I.T.
Insurance
Legal
Manual Employee
Marketing
Medical
Music, Sport & Cinema
Other
Other Clerical
Property Owner
Public/Civil Service/Govt.
Retired
Science
Shopkeeping
Transport/Tourism
TV, Radio & Newspapers
Unemployed
Details of any accidents, claims (whether at fault or not) and convictions (incl. penalty points)
Name
Address Details
Phone
Email address
Additional Comments
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