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Motor Insurance Application
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1. Cover Details
Cover Type
Comprehensive
Third Party Only (TPO)
TPO Category *
Select Category
Motor Private
Single unit
Fleet
Prime mover
PSV
Taxi
Fleet Type *
Non Fleet
Fleet
Passenger Capacity
Include PLL?
No
Yes
Vehicle Usage *
Private
Commercial
Risk Note Preview
Policy Class
Insurer
Annual Premium
Interest & Sum Insured
Tonnage
Select
Up to 3 tons
3-8 tons
8-20 tons
20-30 tons
Prime mover
Claim History
No Previous Claims
Has Previous Claims
2. Contact Details
Full Name *
Email *
Phone *
Enter valid Kenya phone number
3. Client Type
Client Type *
Individual
Corporate
5. Vehicle Details
Registration *
Chassis *
Citizenship *
Kenyan
Foreigner
4. Required Documents
Upload Logbook *
OR Import Logbook (Optional)
Upload KRA PIN *
Upload Valuation Report (Optional)
Upload National ID Front *
Upload National ID Back *
Upload Passport *
Certificate of Incorporation *
Accepted formats:
PDF, JPG, JPEG, PNG
Vehicle Make *
Select Make
Toyota
Nissan
Honda
Mazda
Subaru
Mitsubishi
Suzuki
Mercedes-Benz
BMW
Audi
Volkswagen
Isuzu
Ford
Hyundai
Kia
Peugeot
Land Rover
Lexus
Volvo
Vehicle Type *
Select Type
Sedan
Hatchback
SUV
Pickup
Van
Bus
Lorry
Truck
Station Wagon
Coupe
Convertible
Mini SUV
Vehicle Model
Year *
Invalid year entered
Vehicles above 15 years are only eligible for Third Party Only (TPO) cover.
Vehicle Value (Sum Insured) *
KES
Used to calculate comprehensive premiums
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M-Pesa Payment
KES
