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Contractual Liability Quotation
Personal Details
First Name / Corporate Name
Last Name
Mobile No.
Email Address
Which Kenya Orient branch do you want to be served from?
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ASS-ASSESSMENT CENTER
CHQ-CHQ
ELD-ELDORET
EMB-EMBU
HGS-HUGHES
HQS-HEAD OFFICE
KGL-KITENGELA
KKM-KAKAMEGA
KSI-KISII
KSM-KISUMU
KTD-KTDA
MCH-MACHAKOS
MRU-MERU
MSA-MOMBASA
NKU-NAKURU
NYR-NYERI
RKA-RUAKA
RNG-RONGAI
THK-THIKA
WST-WESTLANDS
Risk Details
Insurance Start Date
Insurance End Date
Note: .Fire and WIBA policies from Kenya Orient Insurance Limited are pre-requisites for applying for Contractual Liability Insurance.
Nature of Business
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Educational Institution
Security Company
Limit of Liability
Limits of liability
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