Insurance application

Apply for Insurance

Select the product you need, then complete the required details. CTPL uses the dedicated motorcar format supplied by AGO.

1. Choose Insurance Product

2. Applicant Information

Full Name *

Date of Birth

Email Address *

Mobile Number *

Complete Address *

3. CTPL Motorcar / Complete OR-CR Details

Copy the details exactly from the LTO OR and CRThe fields below follow the actual OR/CR sample supplied by AGO. Use N/A where the registration itself shows N/A.

A. CTPL Policy Selection

Policy Type / Vehicle Class *

Type of Endorsement *

Issued Date

Issued Time

Policy From

Policy To

B. LTO Registration / Vehicle Identity

Field Office

Office Code

CR Date

CR Number *

Plate Number *

MV File Number / File No. *

Motor / Engine Number *

Chassis Number *

Vehicle Type *

Vehicle Category

Classification *

Make / Brand *

Series / Model *

Body Type / Type of Body *

Color *

Fuel Type

Passenger Capacity

Year Model *

Year Rebuilt

Gross Weight

Net Weight

Piston Displacement

Max Power (kW)

C. Registered Owner / Encumbrance

Registered Owner / Assured Name *

Registered Owner / Assured Address *

Encumbered To

Details of First Registration

D. Official Receipt Details

OR Number *

OR Date *

OR Amount Paid

Remarks / Other OR-CR Details

Base + Add-onsPHP 0.00

Taxes / ChargesPHP 0.00

Other FeePHP 0.00

Calculated AmountPHP 0.00

Calculated from AGO's CTPL rate settings. AGO can review or override the final amount in the backend.

5. Additional Details

Notes / Coverage Requested

Supporting Documents (optional)