KWA Medical Insurance - Onboarding Form

KWA Group Medical Insurance Cover - Onboarding Form

Welcome to the KDA Welfare Association (KWA) enrollment portal. Select your cover option, complete the fields below, and we will guide you on benefits, pricing, and onboarding.

All inquiries are processed through KDA and coordinated by Kenbright for onboarding.

1. Contact / Personal Details

Full Name (as per ID/Passport)*

Date of Birth*

Nationality*

Country of Residence*

City / State*

Phone Number (WhatsApp Preferred)*

Email Address*

2. Coverage Interest (Health Cover)

Which cover are you interested in?*

Are you enrolling as?*

If Family/Group, Number of Dependents/Members

3. Medical & Support Information

Do you or your dependents have ongoing medical conditions?

If yes, briefly describe

Consent & Agreement

I authorize KDA to process my request and route my onboarding to Kenbright for verification and plan allocation.

I consent to be contacted via Email and/or WhatsApp for onboarding guidance.

KWA Group Medical Insurance Cover - Onboarding Form

1. Contact / Personal Details

2. Coverage Interest (Health Cover)

3. Medical & Support Information

2. Group Last Expense (GLE) Details

Consent & Agreement