Policyholder & dependant details, plan selection with a live premium calculation, and a full medical health declaration.
What's included
This template asks for a medical health declaration, and details of dependants including children.
Unda Forms is hosted in Nairobi, Kenya, but parts of the service run outside Kenya — email, for example. See the list of providers. Health data carries extra obligations under Kenya's Data Protection Act; check them with your adviser before collecting real responses.
Recommended for
Personal details, medical history and the cover you want. You can pause and come back at any point.
Preview mode — this is the real form renderer, but responses are not submitted.
