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Orient Mobile Insurance Quotation
Personal Details
First Name / Corporate Name
Last Name
Mobile No.
Email Address
Which Kenya Orient branch do you want to be served from?
Select
ASS-ASSESSMENT CENTER
BRK-BROKERS CHANNEL
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
Insurance Start Date
Insurance End Date
(Display Note: Please ensure that the Sum Insured is the same as the purchase price in the stamped original receipt for purchase of device name where the following details are clearly indicated.)
Make
Oppo
Samsung
Model
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Purchase Date
Sum Insured Amount
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