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Is this the first time contacting Definition Insurance

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Type of request(*)
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Full Name(*)
Kindly input your names

Birthday(*)
/ / Kindly input your age

Company
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Telephone Number(*)
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Email Address(*)
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Preferred Insurance Company(*)
Kindly choose your desired insurance company

Motor Vehicle Number plate
Kindly choose the month your car number plate

Car Make and Model(*)
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Eg. Nissan Xtrail

Car Value(*)
Kindly input the car value to get insurance cost

Month car insurance expires
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Kindly input expiry of car insurance

 
Upload log book
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A copy of the log book is a requirement for comprehensive insurance

Which of the following is our closest location to you
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Our main location is: Delta Corner Towers, Chiromo Road, Westlands, Nairobi (HQ)

Additional Information
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