New Enrollee Application

A clearer enrollment form for Teachers Shield Package applicants.

Complete your application, review the required details, and proceed to payment once your information is saved successfully.

Step 1

Fill Form

Step 2

Review Terms

Step 3

Pay Online

Before You Begin

This application is intended for teaching and non-teaching personnel under the Teachers Shield Package program. Please make sure your details are complete and accurate before proceeding.

Application Notes

Membership is processed as part of a recognized group such as a school, district, or division.

Choose the plan carefully. Plan details can be previewed before you continue to payment.

Upload a clear photo of your Teacher's ID to avoid delays during validation.

Enrollment Application

Fill in your information

Complete the form below to start your enrollment process and continue to secure online payment.

This platform is intended for teaching and non-teaching personnel only and is not open for dependent enrollment.

Disclaimer: This platform is for group enrollment only and not for individual use. While information is collected individually, members may be grouped according to their schools, districts, or divisions. Membership may be declined for individuals not belonging to a recognized group.

Section 1

Member Identity

Enter the member's personal details exactly as they should appear in the enrollment record.

Member Name *

Last Name *

First Name *

Middle Name

Suffix

Birthdate *

Employee Number *

Contact Number *

Email *

Upload Teacher's ID *

You may upload an image or take a photo of your Teacher's ID. Accepted file types: JPG, JPEG, PNG. Maximum file size: 5 MB.

Section 2

School and Plan Details

Choose the correct office, school, plan, and assignment details so your application routes properly.

Plan Availing *

Agent *

School Division Office * If your School Division Office is not listed, please email customer.service@ims.com.ph with your school details.

School Name *

School Delivery Address *

This is where the physical card will be sent.

Division Code *

Station Number *

Final Step

Save your application and continue to payment

We'll save your enrollment details first, then show the terms and continue to invoice creation.