apply for ONE MONTH or YEAR - Insurance@KES890

FILL IN ONLINE FORM BELOW

Get Third Party Only insurance for a CAR for 1 month in 15 minutes.

Print in color anywhere: Cyber at Home. Available 24hrs, 7dys

YOUR INSURANCE DETAILS

When Do You Want Insurance To Start(*)

The date is required: After today

Type of Insurance(*)

Invalid Input! An option is required

Pay for 1 month and UPGRADE to 1 year Third Party Only insurance for KES3,950

MOTOR VEHICLE DETAILS

Car Manufacturer(*)

Please select a car Manufacturer

Motor Vehicle Number Plate(*)

Kindly indicate your car number plate

Do you have the chassis number(*)

Chassis number is mandatory

What is the chassis number(*)

A chassis number is required

Do you accept to have FREE CLAIMS ASSISTANCE(*)

Claims Assistance via Red Car Towing & Garage is mandatory

OWNER DETAILS

The user of the Motor Vehicle details are required

Choose your salutation(*)

A gender option is required

First Name(*)

Your full name as indicated on your National Id is required

Middle Name(*)

Your middle name as indicated on your National Id is required

Last Name(*)

Your full name as indicated on your National Id is required

County in which you reside(*)

Invalid Input

Occupation of Car Owner(*)

An occupation is required

National Id Number(*)

Kindly contact us via WhatsApp below

Mobile Contact(*)

Invalid Input

Contact Email(*)

An email is required

Confirm Contact Email(*)

An email is required

PAYMENT DETAILS

Have you paid via MPESA(*)

You are required to pay via MPESA Buy Goods as above

Indicate your Mobile Number Information
WITHOUT the ZERO AT THE BEGINNING.
Eg. 720123456 NOT 0720123456

Mobile Number To Pay Via MPESA(*)

A mobile number you will use to pay via MPESA BUY GOODS is required

Confirm the above number does not start with a Zero(*)

Remove the STARTING ZERO from the number above

INSURANCE SENT TO EMAIL AFTER PAYMENT IS RECEIVED

DETAILS ON HOW TO PRINT

Insurance to be sent to your email within 15 minutes of payment.

1. Print in colour anywhere

2. Pick a sticker at any RUBIS/SHELL/TOTAL Petrol station or Stick on Windscreen with cellotape. Hint: Always have cellotape in car to avoid delay of sticking on windscreen.

Click once below for the form to process: this may take up-to 15 minutes.

cellotape