Please fill in this form so that we can send you the policy documents and get your covered.Enter your beneficiary detailCommuter detailsFirst Name *Phone Number *What is your phone number?ID Number *What is your national ID number?First Name *Phone Number *What is your beneficiary's numberID Number *What is your national ID number?Enter Ticket DetailsTicket numberWhat is the ticket number?Travel DateWhen did you travel?Mpesa Confirmation Code *Lipa na Mpesa to paybill 600100, account number 0100008619209 and paste the mpesa code here.GDPR *Yes, I agree with the privacy policy and terms and conditions.Referral codeEnter referral code from any of our partners. Skip if you don't have any referral Buy CoverPlease do not fill in this field. Please do not fill in this field.
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