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1 Plan Type & Vehicle Details

2 Personal Details

3 Payment

4 Success

Total Premium PHP 0.00 premium breakdown

Car Information

MANUFACTURED YEAR *

BRAND *

MODEL *

Vehicles maintained in the system are subject to the annual list released by the Philippine Insurers and Reinsurers Association. Should you not find your vehicle in the list, kindly contact [email protected]

VARIANT *

TYPE *

TRANSMISSION TYPE *

MORTGAGED? *

MORTGAGEE *

ENGINE NO. *

CHASSIS NO. *

COLOR *

Engine No. should be at least 12 digits/characters in length

CONDUCTION STICKER / PLATE NO. *

MV FILE NO.

FAIR MARKET VALUE (PHP). *

The above sum insured value is an indicative value only, based opun your vehicle details. Should you prepare another value, please email us at [email protected] for a separate quote

Voluntary Third Party Liability (VTPL)

BODILY INJURY (BI) LIMIT (PHP) *

PROPERTY DAMAGE (PD) LIMIT (PHP) *

ACT OF NATURE

OD / Theft

Period of Insurance

INCEPTION *

EXPIRY *

Upload Car Photo

CAR FRONT PHOTO

CAR BACK PHOTO

CAR RIGHT PHOTO

CAR LEFT PHOTO

Electronic photos of the vehicle showing its front, right-side, left side and rear together with the current-dated newspaper (same date when the photos were taken)

Premium Breakdown

Basic Premium	PHP 0.00
Documentary Stamps	PHP 0.00
Value Added Tax	PHP 0.00
Local Tax	PHP 0.00

SAM

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