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INSURANCE PRODUCT *

POLICY NUMBER *

For newly-issued policy, you may pay your premium after 48 hours.

PREMIUM AMOUNT *

FIRST NAME *

MIDDLE NAME

LAST NAME *

EMAIL ADDRESS *

PHONE NO. *

MOBILE NO. *

I fully understand that for my insurance policy to be enforceable, the premium should be fully paid.

I agree that payment made, through the online facility, after a loss or beyond the agreed credit period, if a credit period has been agreed, will not be valid as to make a claim compensable.

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HEAD OFFICE

Business Hours: 8:00AM to 5:00PM, Mondays to Fridays

6/F Zuellig Building, Makati Avenue corner Paseo de Roxas,
Makati City 1225, Philippines
Tel. : (02) 8859 1200 (02) 8662 8600 (02) 8771 8500 (02) 7944 1300
Fax. : (02) 8811-5108
Email : [email protected]

Business Hours: 8:00AM to 5:00PM, Mondays to Fridays

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SAM

Our Customer Care, Claims Service Desk, and Claims Hotline are available Mondays to Fridays from 8:00 AM to 5:00 PM.