Automobile Association Philippines

Philippine Affiliate of Federation Internationale de l'Automobile

PERSONAL INFORMATION

*Title

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*Last Name

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*First Name

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*Middle Name

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*Mobile Number

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*Email Address

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TYPE OF INSURANCE INTERESTED:

Insurance Type

VEHICLE INFORMATION

*Make

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*Model

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*Year

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*Sub Model

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*Type of Use

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*Plate Number/C.S. No.

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Note: Private, light and non-commercial vehicles only

PICTURES (Upload GIF, PNG or JPG image type only.)

Front:

Rear:

Side:

Note: Large sized Images will take the Registration process longer
Please upload max size of 700KB/File

PROPERTY TO BE INSURED

*Address

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*Barangay

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*City

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*Region

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*Coverage

Fire and Lightning

Earthquake, Typhoon, Robbery, Riot, Stirike, Malicious Damage, and Extended Cover

Flood, Broad Water Damage, Bursting of Water Tanks, Apparatus and Pipes

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*Items to be Insured

Building

Content

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*Sum Insured

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PICTURE (Upload GIF, PNG or JPG image type only.)

Photo of the Property:

Note: Large sized Images will take the Registration process longer
Please upload max size of 700KB/File

*Travel Details

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*Purpose of Trip

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*If OTHERS, please specify

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*Complete Itinerary

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*Departure Date

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*Return Date

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*Coverage Options

Assist Only

With Personal Accident (PA) Cover

With PA and Liability Cover

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*Medical Expenses Coverage

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FORWARD APPLICATION TO AAP OFFICE

AAP Branch

PLEASE READ THE FOLLOWING:

Important Notes and Reminders

Fields with * are required and must be answered.
Do not leave any blank. If not applicable, put NA, otherwise, the online application will not be submitted.
The applicant must present the original supporting documents (requirements personally or through a representative with ID at the nearest AAP office to proceed with the processing of PIDP.)
Select a location if you want to pick up your Membership Kit
Free emergency roadside and towing services can be availed of only AFTER 7 days from the date of activation of membership.

AAP’s Data Privacy Policy

The Automobile Association Philippines (AAP) fully respects your privacy and will keep secure and confidential all personal and sensitive information that you may provide us.
By clicking SUBMIT, you agree to the Terms and Conditions under our Privacy Policy . You hereby allow AAP and/or its authorized employees to collect and store your personal information solely for the purpose of processing your application for AAP Membership or Philippine International Driving Permit.

NOTE:

Automobile Association Philippines

Philippine Affiliate of Federation Internationale de l'Automobile

INSURANCE

Online Application Form

PERSONAL INFORMATION

TYPE OF INSURANCE INTERESTED:

VEHICLE INFORMATION

PICTURES (Upload GIF, PNG or JPG image type only.)

PROPERTY TO BE INSURED

PICTURE (Upload GIF, PNG or JPG image type only.)

FORWARD APPLICATION TO AAP OFFICE