Private Motor Comprehensive Cover	Benefits
Section 1: Vehicle Protection Fire, Loss or Damage Theft, Loss or Damage Malicious, Loss or Damage Accidental, Loss or Damage	Cover Limit Sum Insured Sum Insured Sum Insured Sum Insured
Section 2: Thrid Party Liabilities Bodily Injury Property Damage Pessenger Legal Liability (Person) Pessenger Legal Liability (Event)	Cover Limit Unlimited KES 5 Million KES 3 Million KES 20 Million
Section 3: Other Benefits Towing Charges Authorised Repairs Windscreen Free Cover Audio System Free Cover Medical Expenses Excess Applicable Own Damage Theft (with tracking devise) Theft (with anti-theft device) Theft (without anti-theft device) Third Party Property Damage Drivers Age Below 21 Years Drivers Under 1 Year Experience Special Clauses Passenger Liability for Acts of Negligence Special Perils Notice of Cancellation Motor Theft Unobtainable Parts Replacemnet Parts No Blame No Excess Pre-Insurance Inspection	Cover Limit KES 30,000 KES 50,000 KES 50,000 KES 30,000 KES 30,000 Excess Amount 2.5% of Value, Min KES 20,000 2.5% of Value, Min KES 20,000 10% of Value, Min KES 20,000 20% of Value, Min KES 20,000 KES 7,500 KES 5,000 KES 5,000 Clauses Included Included 7 Days Subject to Anti Theft Devices Included Included Included Required
Geographical Location - East Africa Geographical Location - Kenya Vehicle Use Drivers Allowed	Third Party Cover Comprehensive Cover Social and Domestic Purposes Insured or Authorised Person With Valid Driving License
Premium Payment Modes	Order Processing
Pay "CIC General Insurance" via > Cheque > Bank Deposit > Bank Transfer > Bank Debit Order > Bank Standing Order Co-op Bank, Upper Hill Branch Bank A/c No. 0112-0000-5443-00 > Mpesa Paybill Number: 600112 > NCBA Bank Premium Financing > I and M Bank Premium Financing > Salary Check-off Ref: Name, ID, Policy or Motor Reg	Please Place Order, Pay CIC Insurance and Send us Proof of Payment to: info@insurenow.co.ke, info@insurekenya.com, 0722111760, 0779211760, contact page or chat box, or Call us for Collection of > Bank Order Forms > Bank Payment Slip > Cheque for Collection > Mpesa P/B Confirmation > Premium Financing Forms
N/b: Cash Payment is NOT Allowed	Free Policy Delivery: 1 Day
Declaration by Client	Declaration by Client
1. I / We do hereby declaring that the answers and statements provided are true.	2. I/We have withheld no material information regarding this proposal.

Thank you. 
Principal Officer 
Insurenow Insurance Agency 
InsureNow.co.ke I Compare & Order
InsureKenya.com | Compare & Order

[Private Car] Comprehensive Insurance, Sum Insured KES 11,950,000, CIC Insurance

Brand: CIC General Insurance Company Ltd
Product Code: CIC General Insurance
Reward Points: 5403
Availability: In Stock

KSh 540,210.00

Available Options

Add: Road Rescue Membership

Add: Audio System Extension Cover

Add: Windscreen Extension Cover

Add: Political Violence & Terrorism Cover

Add: Excess Protector

Add: Courtesy Car Cover

Applicant Name

Applicant Date of Birth

Applicant ID Number

Applicant Passport Number

Applicant Tax PIN Number

Applicant Business / Employer

Applicant Activity / Occupation

Applicant Email Address

Applicant Mobile Number

Applicant Telephone Number

Applicant Physical Address

Applicant Postal Address

Applicant Postal Code

Applicant Postal Town

Beneficiary Name

Beneficiary Gender

Beneficiary Date of Birth

Beneficiary Mobile Number

Beneficiary ID / Passport Number

Name of Financier (if any)

Driving License Number

Driving Experince

Driving License Date of Issue

Details and Amount of Losses in the Last 5 Years

Name of Previous Insurer

Has any insurance company declined your proposal? Yes/No. If Yes, please give details

Has any insurance company cancelled or refused to renew your policy? Yes/No. If Yes, please give details

Has any insurance company required an increase premium on renewal? Yes/No. If Yes, please give details

Are you currently insured by CIC Insurance under any other cover/policy? Yes/No. If Yes, please give details

Is the vehicle registered in your name? Yes/No. If Yes, please give details

Is the vehicle used for social, domestic and leisure purposes?

Is the vehicle used for carriage of goods or passengers for hire or reward? Yes/No. If Yes, please give details

Is the vehicle used for carriage of goods in connection with your own business? Yes/No. If Yes, please give details

Will the vehicle be driven by other drivers? Yes/No. If Yes, please provide their names and driving experience

Vehicle - Registration Mark

Vehicle - Year of Manafacture

Vehicle - Make and Model

Vehicle - Seating Capacity

Vehicle - Logbook Number

Vehicle - Engine Number

Vehicle - Chasis Number

Vehicle - Type of Body

Vehicle - Colour

Vehicle - CC

Annual Cover Start Date

Attach - Log Book

Attach - Driving License

Attach - Anti Theft Certificate

Attach - Business Registration (If corporate)

Attach - ID Card or Passport Document

Attach - KRA PIN Certificate

Declaration: I/we do hereby declare that the above answers and statements are true?

Declaration: I/we have withheld no material information regarding this proposal?

Select a Payment Mode to CIC General Insurance Ltd

Cheque Payment

Mpesa Paybill Number 600112

Co-op Bank, A/c 0112-0000-5443-00, Upperhill

Insurance Premium Financing by I and M Bank

Insurance Premium Financing by NCBA Bank

Salary Deduction Form

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