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Step 1 of 9 Welcome
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Secure What Matters in Minutes

Answer a few simple questions and we'll prepare your Burglary Insurance proposal for a Geminia advisor to quote.

About you

Tell us about the proposer

These details go on Part 1 of the official Geminia Burglary proposal form.

Please enter the proposer's full name.
Enter a valid email address.
Enter a valid Kenyan phone number.
Please enter the location of the premises.
Please let us know.
The premises

How is the premises occupied?

Part 2 of the form — occupancy details.

Please describe how you occupy the premises.
Please let us know.
Security

Security measures

Part 2 of the form, continued.

Please let us know.
Please let us know.
Please let us know.
Please let us know.
Records

Stock records & books of accounts

Part 3 of the form.

Please let us know.
Please let us know.
Please let us know.
Please let us know.
Schedule

Property to be insured

Part 4 of the form. If property is in two or more buildings, list each separately below.

Item 1
Please describe the property.
KES
Please enter a total value.
KES
Please enter a sum insured.
Item 2 (optional)
KES
KES
Item 3 (optional)
KES
KES
More than 3 items? List the most important ones here — your advisor will collect the full schedule.
Quick check

General insurance history

Part 5 of the form.

Please let us know.
Please let us know.
Please let us know.
Has any insurer —
i) Declined to insure you?
ii) Required special terms to insure you?
iii) Cancelled or refused to renew your insurance?
iv) Increased your premium on renewal?
Almost done

Contact & declaration

Part 6 of the form — how you'd like us to reach you and confirm the declaration.

Please enter a name.
Sign here
Draw with your mouse, or your finger on a touchscreen. This is embedded into your proposal PDF.
Please sign before submitting.
By signing and submitting, you declare that the statements herein are correct and have been accepted by you or with your full authority, and consent to Geminia contacting you about this proposal.
Review

Does everything look right?

Take a quick look before we prepare your quotation.

Thank You! 🎉

We've received your request. A Geminia Insurance advisor will prepare your quotation and contact you shortly.

If we need any additional information, we'll reach out to you.

Have a question? Our team is ready to help you.
+254 709 551 000 Request Callback
Head Office Le'Mac, 5th Floor, Church Road
Off Waiyaki Way, Westlands
P.O. Box 61316-00200
+254 709 551 000 Mon – Fri, 8:00am – 5:00pm
info@geminia.co.ke

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