LittleCab Member Registration - Birdview Microinsurance

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Little Cab Driver's Member Detail Forms

Member Reference Number *

Title *

First Name *

Last Name *

Middle Name *

Identification Type *

Identification Number *

Date of Birth

Gender *

KRA PIN *

Mobile No *

Other Mobile No *

Email *

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Dependant Details

Beneficiary / Next of Kin Details

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Location: Ground Floor, Fidelity Center, Waiyaki Way, Westlands, Nairobi, Kenya