Woodvale Grove, Krishna Centre, 4th Floor Westlands
insurance@imana.co.ke
+254 796209402 or 0113619635
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Diskava . Beta . Kava
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Client Information
Client Name
Postal Address
Physical Address
KRA Pin Number
ID/Passport Number
Telephone / Mobile Number
Email Address
Date of Birth
Occupation
Travel Information
Country/City Travelling From
Country/City Travelling To
Date of Travel
Return Date
Purpose of Travel
Next of Kin
Next of Kin Name
Next of Kin Telephone Number
M-Pesa Paybill Number:
7596117
Account Number:
Use your ID or Passport Number
This is only a summary for quick reference of your insurance and not a substitute to the policy documents.
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insurance@imana.co.ke
+254 796209402
+254 113619635
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