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Pet Insurance

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Travel Insurance

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OFW Insurance

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Personal Accident Insurance

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Condo Insurance

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COMPREHENSIVE CAR INSURANCE

Do you have previous transaction with the company? *NoYes

Year *

Make/Manufacturing *

Model *

Type of Use *PrivateCommercial

CTPL INSURANCE

Refer to your Certificate of Registration, under the field "Denomination", to know your vehicle's type.

Type *PRIVATE CARMOTORCYCLE

Type of Use *PRIVATERENTAL FOR HIRE

MV File Number *0 / 16

Plate Number *

Engine Number *

Chassis Number *0 / 17

Make *

Model *

Vehicle Type *

Year Model *0 / 4

Sub Model *

Important Notice *By submitting details herein I allow Rayomar Insurance Business the use, processing and storage of data as identified above as long as necessary to exercise any legitimate business purpose and sharing the same to Rayomar Business, its contractors and/or sub-contractors for insurance purposes, subject to Data Privacy Laws. If transacting and/or acting in behalf of other person/s, I hereby warrant that I am duly authorized to transact in the latter's behalf and to give the information provided on this form

Effectivity Date *

MARINO HEALTHCARE FOR SHIPOWNERS

First Name *

Last Name *

Company Name *

Email Address *

Mobile No. *

Message *

Submit

RAYOCARE CORPORATE MEDICAL BENEFITS PROGRAM

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Last Name *

Company Name *

Email Address *

Mobile No. *

Message *

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CLAIMS MANAGEMENT PROGRAM

First Name *

Last Name *

Company Name *

Email Address *

Mobile No. *

Message *

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FLEET CAR INSURANCE

FIRE & INDUSTRIAL ALL RISK INSURANCE

First Name *

Last Name *

Company Name *

Email Address *

Mobile No. *

Message *

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SURETY BOND

First Name *

Last Name *

Company Name *

Email Address *

Mobile No. *

Message *

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MARINE CARGO INSURANCE

First Name *

Last Name *

Company Name *

Email Address *

Mobile No. *

Message *

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CYBER RISK INSURANCE

First Name *

Last Name *

Company Name *

Email Address *

Mobile No. *

Message *

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LIABILITY INSURANCE

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Last Name *

Company Name *

Email Address *

Mobile No. *

Message *

Submit

GROUP PERSONAL ACCIDENT INSURANCE

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Last Name *

Company Name *

Email Address *

Mobile No. *

Message *

Submit

HULL INSURANCE

CONTACT US

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Last Name *

Email Address *

Mobile No. *

Message *

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TRAVEL INSURANCE

First Name *

Last Name *

Date of Birth *

Origin & Destination *

Travel Start Date *

Travel End Date *

Submit

CONDO INSURANCE

FIRE INSURANCE

Location to be Insured

Street Address *

Block/Lot/Phase No. *

City *

State/Province *

ZIP / Postal Code *

Country *AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaAustraliaArubaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCabo VerdeCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGuernseyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauNorth MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSaint HelenaSaint Pierre & MiquelonSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUS Minor Outlying IslandsUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabwe

Interest to the Property being Insured *Owner-ResidentOwner Non-ResidentTenant

Property Information

Age of Building

Date of Last Renovation

Building Height *1-Storey2-StoreyMore

Any Previous Loss *YesNo

Please Specify *

Roofing Material *G.I. SheetsCeramic/Tegula TileHardroof DeckOthers

Please Specify *

Exterior Walls *ConcreteTimberPart Concrete/TimberOthers

Please Specify *

Property Photos *

Drag and Drop (or) Choose Files

Please upload at least 1 photo of the property view.

Boundaries

Description of the surroundings of the property to be insured

Front *

Left *

Right *

Back *

Is the Property Mortgaged? *YesNo

If Yes, Please Specify

Items to be Insured

Building (Php) *

Contents (Php) *

Leasehold & Improvements (Php) *

Inception *

Expiry *

Total Sum Insured (Php)