Insurance

Contact Details

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Your details

EMAIL ADDRESS

Enter email address.

Contact number

Select country code.

Enter phone number.

Your residency visa is issued in:

Select your residency visa.

Quotation number:

First, we'll ask you a few questions

Your details (primary applicant)

Provide the following details

First Name

Enter first name.

Last Name

Enter last name.

Gender

Male Female

Select Gender.

Date of Birth (DD/MM/YYYY)

Select Date of Birth.

Marital Status

Unmarried Married

Select marital status.

EMAIL ADDRESS

Select email id.

Sponsor's details

Is the applicant the same as main policyholder?

Provide the following details

Sponsor Name

Enter sponsor name.

Salary

Select Select Salary.

Sponsor Status

Select Sponsor Status.

Quotation number:

What type of visa do you hold?

Important The products have been structured in accordance with DOH regulations while keeping in mind the minimum premium applicable; therefore, to avoid any delays/rejections/non-compliance, we request that the product be chosen based on the relevant visa category applicable to the relevant member.

Member name	Visa type	DOH visa type	Is this the first time you are buying insurance on this visa?	Entry stamp date / End date
			Yes No	Entry stamp date

Quotation number:

Get a quote

(primary applicant)

Recommanded plans

Quotation number:

You are almost covered

Member name	I do not have any pre-existing medical condition(s).	Height	Weight
	Yes No Please select medical condition.	Cm Please enter height.	Kg Please enter weight.

Quotation number:

Please enter required information and upload documents Important Notice: Please verify the accuracy of the provided information and documents. Any inaccuracies may lead to delays in processing and issuing your policy. Thank you for your attention to this matter

Kindly provide mandatory information and upload required documents

Emirates Id Number*

Enter Emirates Id Number.

UID Number*

Enter UID Number.

Passport Number**

Enter Passport Number.

Visa File Number*

Enter Visa File Number.

Relation*

Enter Visa File Number.

Nationality*

Enter Nationality.

Status in UAE*

Enter Status in UAE.

Visa Emirate*

Enter Visa Emirate.

Residential Emirate*

Enter Residential Emirate.

Residential Location*

Enter Residential Location.

Already have medical insurance? *

Yes No

Select Medical Insurance.

Remarks *

Enter Remarks.

Kindly upload the documents

No	Document Name	Upload Documents (jpeg, png, pdf format, 5MB)
1	* Passport	Upload Document Select Passport.
2	* VISA	Upload Document Select VISA.
3	* Emirates ID Front	Upload Document Select Emirates ID Front.
4	Emirates ID Back	Upload Document Select Emirates ID Back.
5	Photograph	Upload Document Select Photograph.
6	* Certificate of Continuity/Entry Stamp	Upload Document Select Certificate of Continuity/Entry Stamp.
7	Medical Application Form	Upload Document Select Medical Application Form.

Sponsor

Kindly provide mandatory information and upload required documents

Establishment Number*

Enter Establishment Number.

TRN Number*

Enter TRN Number.

Kindly upload the documents

No	Document Name	Upload Documents (jpeg, png, pdf format, 5MB)
1	* Establishment Card	Upload Document Select Establishment Card.
2	* Trade License	Upload Document Select Trade License.
3	* VAT Certificate	Upload Document Select VAT Certificate.

Definition:
* E-visa with Change Status stamped (previously AUH with Certificate of Continuity)
* Existing/Renewal (previously insured with Certificate of Continuity)
* New Entrant – New entry to the country (E-visa with entry stamped)
* Newborn – Born in UAE
* E-visa with Change Status (previous visa Dubai/NE or Visit visa)

Quotation number:

Plan Summary

Akash

Network provider
Amount	AED

This policy cannot be processed currently as the health profile needs to be reviewed. Kindly proceed with the next step to submit the application for our team to evaluate it accordingly.

** Note: Please renew the health insurance before the Validity Date to avoid recalculation of extra penalty

Medical Questions

Cancer Declaration