COVID-19 Insurance Registration Form
Powered by mTek via Hillcroft Insurance Brokerage Ltd.

Four Simple Steps:

1) Provide Policy Holder Information.
2) Provide Insured Individual Information.
3) Select Package and Pay
4) You are insured and smarter #besmart

The Insurance Policy provides Coverage for a person on diagnosis and hospitalization with COVID-19 for atleast 24 hours.
More benefits and frequently asked questions : https://covid19.mtek-services.com/#faq
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Policy Holder Information
Details of the individual purchasing the policy and not necessarily the COVID-19 insured individual
Name of the policy holder: *
Date of Birth: *
MM
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DD
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YYYY
National Id Number *
KRA Personal Identification Number (PIN) *
Mobile Number *
Email Address *
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