Bancassurance

Your Cart

Below are the covers you have added to cart

Your Cover Selection

Please review your selected cover below

LIMITS OF LIABILITY (KSH)

ADDITIONAL BENEFITS

LIMITS OF LIABILITY (KSH)

Total

Travel Insurance

Your Travel Details

Who is travelling? *

Where are you travelling from *

Where are you travelling to? *

Purpose of travel? *

Start date of travel? *

End date of travel? *

Date of Birth *

Email Address *

Phone Number *

Next of Kin Details

First Name *

Last Name *

ID Number *

Contact *

Do you have dependants?

Applicant First Name

Applicant Last Name

Date of Birth

Gender

Relationship

Consent to our Terms and Condition, Data Protection and Privacy Policy to proceed to the next step

By checking this box, you consent to the collection, use and sharing of your data as outlined in these legal agreements

Hello

You are beginning the travel insurance application journey. Please make sure you have the following ready for when they are requested:

A note on cookies