Today is Saturday, November 28, 2015        

Please fill out completely the registration form below.

Login Information

Please create your desired username. It should be at least six (6) characters long and may use special character underscore ( _ ). Spaces and other special characters are not allowed.


Personal Information

Policy Owner's Name
Prefix Given Name Surname Suffix
Date of Birth
Place of Birth
Town/City Province Country

Please do not use spaces and special characters like hyphen asterisk or period.
Mother's Maiden Name
Given Name Surname
Spouse Name
(if married)
Given Name Surname

Contact Information

It is important that your Mobile Phone No. and Email Address are currently active and correct as we shall use these contact information to notify you of the status of your registration.

Mobile Number
Country Code
Email Address  

If you do not have an email address yet or would like to create a separate address for i-EAGLE transaction, you may create one by clicking on any of the following web mail services:  yahoo and gmail

Residence Phone No.
Country Code Area Code Telephone No.
Office Phone No.
Country Code Area Code Telephone No.

Policy Information

If you have several policies with Insular Life, please enroll only one (1) active policy for this initial registration. We shall automatically include your other policies in your list of enrolled policies upon approval of this registration.


Please type the following information as it appears in your policy contract.

Policy Number
Age at Issue of Insured
Maturity Date

Validation Code

Please type the codes below on the textbox provided for. Codes are case sensitive.

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