1 Policy Details

2 Requester Personal Details

Cover Category*
Non Motor Insurance Policy Type*
Vehicle Model
Vehicle Registration Number*
Vehicle Year of Manufacture
Estimated Vehicle Value in Kshs*
Please enter a number from 350000 to 500000000.
Policy Type*
Vehicle Use
Commercial Vehicle Use*
Number of Passangers*
Trip Type*
Number of Adults*
Number of Children
Where are you Travelling from?*
Destination*
Departure Date*
Date Format: DD dash MM dash YYYY
Return Date*
Date Format: DD dash MM dash YYYY
Liability Insurance Policy Type*
Where do you Live?
Your Profession Details