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Your Name:

        Phone:

             Fax:

          Email:

Enter age (Father - Mother):

Enter age (Spouse):

Enter age (Child 1):

Enter age (Child 2):

Enter age (Child 3):

Enter age (Child 4):

Enter age (Child 5):

Enter age (Child 6):

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Monthly Payment:

Quarterly Payment:

Half Yearly:

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Choose your method of payment:

  Monthly Payment
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  Half Yearly
  Yearly Payment

 

 

1st Class

In

 

Yearly Cover

25,000

Deductable

10%

Max./Stay

5,000

Out

 

Yearly Cover

1,000

Deductable

10%

2nd Class

In

 

Yearly Cover

15,000

Deductable

10%

Max./Stay

3,000

Out

 

Yearly Cover

750

Deductable

10%