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CTPL Insurance

Compulsory Third Party Liability Insurance

Step 1. (Policy Type & Vehicle Information)

Registration Type
Coverage Period
MV Type
Premium Type
MV File #
Plate #
MV File #  
Plate #  
Engine #  
Chassis #  
Year
Make/Brand  
(Other Make/Brand)
Make/Brand  
(Other Make/Brand)
Model/Series  
(Other Model/Series)
Model/Series  
(Other Model/Series)
Inception Date
Expiry Date
Total Premium

Step 2. (Personal & Payment Information)

 
Corporate
Company Name
First name
Last Name
Address
Province
City
TIN #
Email
Mobile #
Payment Type
 
In compliance with the requirements of the Data Privacy Act of 2012, I have read and agree with FGen Insurance’s Privacy Policy, and hereby consent to the general use and sharing of information obtained from me in this transaction. These data, which include my personal or sensitive personal information, may be collected, processed, stored, updated, or disclosed by FGen Insurance (to its affiliates, necessary third parties, and/or government regulators) for legitimate purposes, to implement the transaction which I requested. I am assured that security systems are employed to protect my information.

Furthermore, I allow FGen Insurance to offer and provide new or related products and services. I am made aware that my information may continue to be collected, stored, processed and/or shared for five (5) years from the conclusion of this transaction, or until the expiration of the retention limits set by applicable law, whichever comes later.