C2C - Car to Car Collision

PARAMOUNT C2C

Your Dependable Companion on the Road

Select Your Vehicle

Your Vehicle Details

Select Your Coverage

Your Personal Information

Year Model

Vehicle Maker

Vehicle Series

Color

Note: upload ORCR copy of driver's license for faster filing of claims

MV File Number

MV Type

Plate Number

Engine Number

Serial / Chassis

Period of Coverage

From:

To:

* Make sure you have your Certificate of Registration to fill in the following information.

CAR TO CAR

COLLISION COVERAGE

P 100,000.00

Choose Your Additional Coverage

TOTAL PREMIUM

Excess Bodily Injury

Property Damage

Auto Passenger

Roadside Assistance

Acts Of God

₱ 0.00

Name

Gender

Nationality

Birthdate

Address

Zipcode

Telephone Number

Mobile Number

Format: 11 digit number e.g. 09123456789

Email Address