Quotation

Search EDMS WI

Search Customer Name/ID/PIN /Mob./Email

Customer

Risk Note No.

First Name / Corporate Name

Last Name

Mobile No.

Email Address

Which branch do you want to be served from?

Insured Name

If insured is different from customer

Search Customer Name/ID/PIN /Mob./Email

Customer

First Name/Corporate Name

Last Name

KRA Pin

Email Address

Mobile No.

Insurance Start Date

Insurance End Date

Fire policy from GA Insurance Company Limited are pre-requisites for applying for Public Liability Insurance.

Nature of Business