Plan

Personal

Next of Kin

Terms

Confirm

Select Your Plan

Choose the best coverage for your needs.

Are you traveling to Africa?

Yes, I'm a Traveller No, I'm a Resident of an African Country

2. Select trip dates

Trip Start Date

Trip End Date

Destination

Package Selection

Select a package that best suits your needs.

Start Date

Africa Travel Package

$50.00

Emergency evacuation coverage

Select Plan

Nerissa Test Package 08.12.25

$500.00

Its time!

Select Plan

Personal Details

Please provide your personal information.

Identity Details

First Name

Surname

Date of Birth

Nationality

Passport Details

Passport Number

Passport Expiry Date

Contact Information

Address

Email Address

Phone Number

You can contact me on WhatsApp using this number.

Personal Details

Please provide your personal information.

Identity Details

First Name

Surname

Date of Birth

Nationality

Passport Details

Passport Number

Passport Expiry Date

Contact Information

Address

Email Address

Phone Number

You can contact me on WhatsApp using this number.

Step 3: Next of Kin

Next of Kin 1

Full Name

Phone Number

Relationship

Step 3: Next of Kin

Next of Kin 1

Full Name

Phone Number

Relationship

Terms & Conditions

Please review and accept the terms and conditions to proceed.

Please read the full Terms & Conditions before proceeding.

I agree to all terms and conditions.

Pre-existing conditions excluded for the first 6 months. Emergency evacuation must be approved. War and terrorism clause acknowledged. Policy exclusions understood. Policy activates only if local treatment is unavailable.

Terms & Conditions

Please review and accept the terms and conditions to proceed.

Please read the full Terms & Conditions before proceeding.

I agree to all terms and conditions.

Application Submitted!

Thank you for submitting your application. We will review it shortly and get back to you.