Expendo!

Registration Form

Please fill in all required fields. This form is only filled in once during registration.

1. OWNER(S) /PERSONAL DETAILS

Title *

Miss

Mrs

Designation (role) *

Surname *

Other Names *

Gender *

Male

Female

Other

ID No *

Email Address *

Mobile No *

Alternate Mobile No

Date of Birth *

KRA PIN

Next of Kin

Name *

Contact *

Relationship *

Any other information

2. VEHICLE DETAILS

Type *

Reg No *

Make *

Any other information

3. PLAN SELECTION

Plan *

Basic Plan (Ksh 50 per week or 200 per month)

Premium Plan (Ksh 100 per week or 400 per month)

Terms and Conditions

Eligibility: Membership is open only to active motorbike riders in Kenya.
Membership Activation: Coverage is activated after three consecutive contributions (for monthly payers) or after 24 hours of the first payment (for weekly payers).
Accident Claims Process: Accidents must be reported within 24 hours. Required documents include a police report and hospital medical records. The company reserves the right to investigate the legitimacy of all claims.
Hospital Bill Payment: Hospital bills are paid directly to the healthcare provider, based on the member’s selected plan.
Accidental Death Benefit: Last expense payouts will be based on the member’s selected plan.
Hospital Network: Members can only use hospitals within Expendo’s approved network unless it’s an emergency outside the network (subject to review).
Claim Limit: A maximum of three claims can be submitted within 12 months.
Pre-existing Conditions: This plan does not cover Pre-existing medical conditions.
Membership Cancellation: Members may cancel anytime but will not receive refunds for partial periods. The company can cancel membership due to non-payment or fraudulent claims.

I accept the terms and conditions *

Consent and Declaration

I now confirm that the information provided is accurate to the best of my knowledge. I have read, understood, and accepted the terms and conditions governing the Expendo Mobility “Bill ya Hosi” support plan. I agree to abide by all the terms outlined in this registration form and authorize the collection and processing of my data for purposes related to this product.

I confirm that I have personally selected my choice on each respective consent and under my own free will. I am aware that I may withdraw my consent at any time through the mechanisms provided by Expendo Group.

Name *

ID/Passport No *

Witness

Name *

ID/Passport No *