• Office No: 00, Unit 19, THE OFFICE, Plot 64517 Fairgrounds, Gaborone, Botswana.

  • P.O. Box 715, Gaborone

shape

Policy proposal

Please fill out and submit the form below. Our representative will inform you about other requirements for
obtaining an insurance policy:

    Select City:

    Your Full Name:

    Father’s/Husband’s Full Name:

    Indentity No:

    Date of Birth:

    Residential Address:

    Contact No:

    Fax:

    Email:

    Your Occupation:

    Monthly Income:

    Chose Plan:

    Chose Terms:

    Do you have any physical impairment? If yes, please state its nature:

    Do you now or ever had heart disease, diabetes, high blood pressure, TB, jaundice or liver, stomach, renal disease, cancer, asthma, epilepsy, nervous or psychological disorders? If so specify with dates:

    Are you in good health? If not, describe the nature of ailment:

    Botswana Short Term Insurance Underwriters Association (BSTIUA) is an Association comprising of all Non Life Insurance and Reinsurance companies licensed to operate in Botswana.

    Contact

    • inquiries@bstiua.com

    • Office No: 00, Unit 19, THE OFFICE, Plot 64517, Fairgrounds Gaborone Botswana.

    Open Hours

    Mon – Fri: 8:00 am to 5:00 pm
    Sat-Sunday: Closed

    © BSTIUA 2023. All Rights Reserved