Applicant, cover amount, health declarations and a named beneficiary — with a signed declaration to close.
What's included
This template asks for a medical history and health declaration.
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, health and lifestyle questions, and the cover and beneficiaries you want.
Preview mode — this is the real form renderer, but responses are not submitted.