Get a Quote

GET A QUOTE for Life Cover, Dread Disease Cover, and Disability Cover

First Name(Required)

Surname(Required)

Contact number

Email(Required)

Enter Email Confirm Email

Life Cover Amount (N$100 000 minimum)(Required)

Dread Disease Cover Amount (N$100 000 minimum)(Required)

Disability Cover Amount (N$100 000 minimum)(Required)

Date of birth(Required)

Age(Required)

Dread Disease(Required)

Disability(Required)

Premium Back Option(Required)

Qualification(Required)

Height (cm)(Required)

Weight (Kg)(Required)

Cholesterol - If unsure please select 6 * (0-10)(Required)

Blood Pressure(Required)

Smoker(Required)

AIDS(Required)

Liver Function(Required)