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First Somali Takaful and Re-Takaful

SHIRKADDACAYMISKA ISLAAMIGA EE SOOMAALIYA

Motor Vehicle Takaful
Marine Cargo Takaful
Business Takaful
General Takaful
- Travel Takaful

GENERAL INSURANCE QUTATION

1.Some Details about you

First Name*

Middle Name

Last Name*

Mobile Number*

Email*

Date Of Birth*

2.Hi! Please provide us a few details about you

Business or leisure Trip

Family Trip

Student Trip

Business Multi Trip

3.Journy Details

When you plan to leave?*

When you plan to return?*

Number of days

Where do you plan to go

USA and Canada(Provide coverage all over the world including USA and Canada)

Non USA and Canadian countries(including Schengen countries,uk etc.)

No. Of family members to be insured who are traveling with you?

note:The policy does not cover for any claims arising during the mansrovar trip/journy and cruise travel

3.Policy Detailsl

Full Name*

Date Of Birth*

Relationship*

Sex*

Presently in Somaliya

Yes No

Holds valide somaliya passport

Yes No

Passport no.*

Nominee*

note:Please keep your passport with you

Car Takaful

Features & Benefits

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