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Motorcycle/Car Insurance
1
Profile
Personal Information
2
Address
User's Address
3
Vehicle & Insurance
Insurance & Vehicle Details
4
Submission
Review and Submit
Enter your Personal Information:
Enter valid PH phone number(e.g: 09*********).
Setup Your Address
Encode your Vehicle Details
Example: Vios 1.3 J, Civic Type R, etc.
Review your Details and Submit
Insurance Details
Insurance:
Personal Information:
Full Name:
Name to appear on policy schedule:
Contact No.:
Email:
Address:

Vehicle Details:
Vehicle Type:
Market Value:
Vehicle Usage:
Previous Policy:
Brand or Make:
Model:
Model Year:
Transmission Type:
Referral Code: