Life Insurance Quote

Cover Details
Quote Reference
Life Cover Amount*
Number of years that you require policy
Serious Illness Cover (optional)
Minimum Serious Illness Cover is 10% of the Life Cover amount. Also, as any serious illness claim pay Out ,acts as an advance payment of the lifecover,it Cannot exceed the lifecover amount.
Accelerated Illness Cover*
- Yes
- No
Term of Policy*
Number of years that you require policy
Basis of Cover*
Single Cover- One person to be covered Joint Cover- Two people coverage, with payout on first person to claim, per benefit.
Frequency*
- Monthly
- Annual
Indexation*
- Yes
- No
Your Details
Name*
First Last
Contact Number*
Email Address*
Smoker Status*
Date of Birth*

DD
MM
YYYY
Sex*
- Male
- Female
Second Person's Details
Smoker Status*
Date of Birth*

DD
MM
YYYY
Sex*
- Male
- Female
T&C*
- I have read and understand the terms and conditions and privacy policy

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Cover Details