About us
Individual Policy Cover
Claims
Company Profile
Clientele List
N.H.I.S
Our Solutions
Contact Us
Enrol Online
Corporate Policy Cover
FAQ
Download Handbook-PDF
   
Online Registration

..:: Sign Up as a client of Expatcare Health ::..

Company Name:
Employee / Staff ID #:
Occupation:
* Surname:
* Other Names:
* Date Of Birth: yyyy-mm-dd
Gender:
* Email:
* Telephone:
* Residential Address:
Local Govt. Area:
* City:
* State:
* Country:
   
* Any Existing Chronic Illness
in Yourself, Your Spouse
or any of your children?

NOTE: You can select more than 1 if it applies to the case

If your case is not listed above ,
kindly specify here
   
If you are PREGNANT,
kindly specify the duration
months pregnant
   
* Choice of Health Care Hospital /
Provider:
CLICK HERE TO SEARCH FOR
THE PROVIDER NEAR YOU, THEN
SELECT THAT PROVIDER NAME
FROM THE MENU BELOW


* Choose your Insurance Policy:
Next Of Kin:
* Are you married?:
Yes
No
* Do you have children?:
Yes
No
* Date Of Application Form: yyyy-mm-dd
* Choose a Username:
* Choose a Password:
Upload the Passport Picture:
* Required Fields

About Us  I  Contact Us  I  Our Profile  I  Our solutions  I  Clientelist  I  FAQ  I  Claims  I  Enrol Online  I  Pay Subscriptions Online  I  Email Us