We hereby declare that the statements made by us in this Questionnaire and Proposal Form are, to the best of our knowledge and belief, complete and true, and we hereby agree that this Questionnaire and Proposal forms the basis and is part of any policy issued in connection with the above risk. It is agreed that Insurers are liable in accordance with the terms of the Policy only and that the insured will not lodge any other claims of whatever nature. The insurers undertake to treat this information in strict confidence.

I/We consent to Kenya Orient Insurance Kenya Ltd; (i) Collecting, using, disclosing and/or processing my/our personal data; and (ii) Transferring my/our personal data to their reinsurers and affiliated companies for the purposes of insurance as permitted by law.

I/we do hereby confirm that I/we have authorized Bunna Insurance S.C. to share my/our credit information and to access my/our credit profile from Credit Reference Bureau (C.R.B)