COCOGEN
CTPL
 
1
Car Information
In Progress
2
Personal Data
Pending
3
Summary and Confirmation
Pending

Car Information

Purchase Details

Is your car brand new?*

Date of Purchase*

Sun
Mon
Tue
Wed
Thu
Fri
Sat

Vehicle and MV Type

Vehicle Type*

MV Type*

Premium*

Upload Certificate of Registration

You are required to submit a clear copy of your car’s Certificate of Registration. File must be an image in JPG, JPEG, PNG, or similar format. Maximum size is 5MB.

Certificate of Registration

Year*

Make*

MV File No.*

Chassis No.*

Plate No.*

Engine No.*

Do you have promo code?

Personal Data

First Name*

Last Name*

Suffix*

Mobile*

Email Address*

Birth Date*

Sun
Mon
Tue
Wed
Thu
Fri
Sat

Place of Birth*

Nationality*

Gender*

Present Address

Region*

Province*

City*

Barangay*

House/Unit No.*

Street Name*

ZIP*

Identification

ID Type*

ID Number*

You are required to submit a copy of your Driver’s License as identification. File must be an image in JPG, JPEG, PNG, or similar format. Maximum size is 5MB.

Do you have an agent?

You are about to get CTPL Premium

CTPL Premium

CTPL Premium Breakdown
Net Premium
Documentary Stamp
VAT
Local Government Tax
Interconnectivity Fee
₱69.40
Total Amount Due

Due to BIR implementation of EDST system (Electronic Documentary Stamp Tax) effective July 1, 2010, policy holders are mandated to pay the DST of their policy premium once issued. Refund on DST for cancelled policies are not allowed

Limit of Liability
₱200,000
Policy Period
to
Brand New
Date Purchase
Vehicle Type
MV Type
Year
Make
MV File Number
Chassis Number
Plate Number
Engine Number

Full Name
 
Mobile Number
Email Address
Date of Birth
Place of Birth
Nationality
Gender
Address
ID Type
Driver's License
ID Number

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