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Mobile Insurance Quotation
Personal Details
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Search Customer Name/ID/PIN /Mob./Email
Customer
Select Customer
Risk Note No.
First Name / Corporate Name
Last Name
Mobile No.
Email Address
Which branch do you want to be served from?
Select
010-HEAD OFFICE1
020-MOMBASA BRANCH
030-ELDORET BRANCH
040-NAKURU BRANCH
050-QUEENSWAY BRANCH
060-KISII BRANCH
070-KISUMU BRANCH
080-MERU BRANCH
090-THIKA BRANCH
100-NYERI BRANCH
110-MACHAKOS BRANCH
120-WESTLANDS BRANCH
130-CUSTOMER CORPORATE
140-BUNYALA BRANCH
160-KERICHO
200-COMMONWEALTH
210-TOM MBOYA
220-NAIVASHA
222-Branch 002
23-Demo1
555-Branch 555
795-DDDDDDDDD
Insured Name
If insured is different from customer
Search Customer Name/ID/PIN /Mob./Email
Customer
Select Customer
First Name/Corporate Name
Last Name
KRA Pin
Email Address
Mobile No.
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Confirmation
Insurance Start Date
Insurance End Date
(Display Note: Please ensure that the Sum Insured is the same as the purchase price in the stamped original receipt for purchase of device name where the following details are clearly indicated.)
Make
Oppo
Samsung
Model
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Purchase Date
Sum Insured Amount
Submit
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