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FS&U51 Revision No. 01 November 11, 2016TRAVEL PERSONAL ACCIDENT APPLICATION FORM INDIVIDUAL CLIENT Client information as mandated under the Phil. AntiMoney Laundering Act (AMLA) R.A No.10365.

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How to fill out the BPI/MS Insurance Corporation online

Filling out the BPI/MS Insurance Corporation travel personal accident application form online can streamline your experience while ensuring that all necessary information is accurately captured. This guide provides detailed, step-by-step instructions to assist you throughout the process.

Follow the steps to complete your application form successfully.

  1. Click ‘Get Form’ button to access the application and open it for filling out.
  2. Begin with entering your complete name and citizenship in the designated fields, ensuring all information is accurate.
  3. Indicate your sex by selecting the appropriate option and provide your civil status by checking one of the boxes provided.
  4. Fill in your date and place of birth clearly, as well as your residence address and contact information, including telephone, mobile, fax number, and email address.
  5. Input your identification numbers such as SSS, GSIS, driver’s license, or passport number, and include the expiry date for applicable IDs.
  6. Enter details of your business or employer, your occupation or designation, along with the business address and contact number.
  7. Provide your Tax Identification Number (TIN) and any necessary details related to your employment status. If unemployed, list your source of funds.
  8. If applicable, fill out the beneficiary details including their name, relationship, and address.
  9. Select your preferred mailing address by checking the relevant box for either your residence or business address.
  10. In the underwriting details section, choose the type of plan and specify your preferred coverage amount.
  11. Indicate your travel period by providing both departure and return dates, along with the place of travel and purpose.
  12. Respond to the medical history questions regarding other insurances, past treatments, and any existing medical conditions by selecting yes or no as applicable.
  13. Complete any additional questions related to disabilities and identify whether you have an existing agent with BPI/MS.
  14. Review all entered information for accuracy before submitting the application. Do not forget to sign and date the application.
  15. Upon completion, users can save changes, download, print, or share the form as needed.

Take action today by completing your BPI/MS Insurance Corporation application form online.

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A high-value unit-linked life insurance product that provides high protection coverage. Learn more about BPI life insurance plans and other products. Visit any of the 1,000 BPI branches nationwide and talk to our Bancassurance Sales Executive today.

BPI Life Assurance Corporation (BPI ) is a strategic alliance between two leading financial companies in the Philippines: Philippines Life and General Insurance Company, Inc. ( Philippines) and Bank of the Philippine Islands (BPI).

You may submit your claim documents to the BPI MS Head Office, BPI MS Branch Office servicing you, or BPI MS MOTOR CLAIMS EVALUATION CENTER. Your BPI MS servicing agent may also accept and forward your claim documents in your behalf.

BPI Life Assurance Corp. is a strategic bancassurance alliance between two leading companies in the country today - Philippines and Bank of the Philippine Islands (BPI).

BPI Life Assurance Corporation (BPI ) is a strategic alliance between two leading financial companies in the Philippines: Philippines Life and General Insurance Company, Inc. ( Philippines) and Bank of the Philippine Islands (BPI).

BPI's services include consumer banking and lending, asset management, insurance, securities brokerage and distribution, foreign exchange, leasing, and corporate and investment banking.

Step 1: Log on to BPI Online (https://online.bpi.com.ph) using your web browser and select: Other Services. Manage Recipient....Step 2: Choose BILLERS and fill in the details: Biller Name: BPI/MS Insurance Corporation. Input your 16-digit Payment Reference Number. Click NEXT when you are done.

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