Freedom Life - компания по страхованию жизни

Who will we insure/the policyholder?

Enter IIN

Enter your full name

Date of birth

Phone

Email to receive the policy:

Residence address: street, house, apt.

Document number

Date of issue of the document

Policy start date

Policy expiration date

Insured sum:

To pay:

I confirm compliance and consent with the termsof declarations

I give my consent for collection and processing of personal data and I am familiar with the

Insurance rules are available for review on the Internet resource: www.solva.kz