Mosquitronella Insurance
This insurance provides cash assistance of ₱10,000 in the event the insured is diagnosed with Dengue Fever. No need for hospital admission, as long as you have a medical certificate confirming a dengue diagnosis, you can still claim the benefit.
Email
example@example.com
CODE
Name
*
First Name
Last Name
Mobile No.
*
Ex. 09260977374
Address
Street Address
Barangay/Subdivision
City
Province
Postal / Zip Code
Birthday
*
-
Month
-
Day
Year
Date
Beneficiary
*
Relationship to Beneficiary
*
Ex. Son
Guardian (if minor applicant)
Proof of Payment:
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