Personal Details
Risk Details
General Policy Details
Stand-alone WIBA policy has to be purchased to cover employees earning more than KES 10,000 per month
Make, model and serial must be provided for all normally serialized items
Please provide below information on any insurance claims you have reported in the last 5 years
I/ We do hereby declare that the above answers and statements are true and that I/ We have withheld no material information regarding this proposal. I/ We agree that this declaration and the answers given above as well as any proposal or declaration or statement made in writing by me/ us or anyone acting on my/ our behalf shall form the basis of the contract between me/ us and the Company. I/ We further agree to accept indemnity subject to the conditions in and endorsed on the Company’s policy.
I/we do hereby confirm that I/we have authorized Family Bank Insurance Agency to share my/our credit information and to access my/our credit profile from Credit Reference Bureau (C.R.B)
