Application Details

Request Received
Insurance Application Form
This is a 12-month membership
This membership is for individuals only

INSURANCE FEES


Option 1 = KES 6500/- one off per year


Option 2 = KES 30/- per day for 288 days with a deposit of KES 1000/-

Glue Up account creation information.

Please enter a first name
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Please enter a last name
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Please enter a password that contains at least 8 characters
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Please enter a password that contains at least 8 characters
If you input more than 0 characters your Confirm password (at least 8 characters) may not display properly

Please fill in your member application details.

Consent

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