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Travel Insurance
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✓Cover Information ✓Personal Information ✓Preview Kindly fill in your Cover Details Travel Product Destination Date of Departure Date of Arrival Passport Number Kindly fill in your Personal Information Gender Male Female First Name Last Name Other Name (optional) Phone Number Email Address Date of Birth State City Address Personal Contact InformationFirst NameLast NameOther NamesEmail AddressDate of BirthGenderMobile NumberStateCityAddressPassport NumberDestinationDeparture DateArrival DateDuration Back Get Quote I, hereby consent to the collection, processing, use and the transfer of personal data to third parties (within or outside Nigeria), for the purpose of assessing whether or not I will purchase an insurance cover or for the performance of any future insurance contract and any other data processing activities which may arise therefrom between myself and Leadway Assurance Company Limited (Leadway). I affirm that I am aware and take cognizance of my rights under the relevant Data Protection Laws in Nigeria and other terms detailed in the Data Privacy Policy of Leadway available on https://www.leadway.com/privacy-policy/. I authorize and consent that any person who may be in possession of, or hereafter acquire, any information pertaining to my records may disclose such information to Leadway.
Cover Information
Personal Information
Preview
First Name
Last Name
Other Names
Email Address
Date of Birth
Gender
Mobile Number
State
City
Address
Passport Number
Destination
Departure Date
Arrival Date
Duration
I, hereby consent to the collection, processing, use and the transfer of personal data to third parties (within or outside Nigeria), for the purpose of assessing whether or not I will purchase an insurance cover or for the performance of any future insurance contract and any other data processing activities which may arise therefrom between myself and Leadway Assurance Company Limited (Leadway). I affirm that I am aware and take cognizance of my rights under the relevant Data Protection Laws in Nigeria and other terms detailed in the Data Privacy Policy of Leadway available on https://www.leadway.com/privacy-policy/. I authorize and consent that any person who may be in possession of, or hereafter acquire, any information pertaining to my records may disclose such information to Leadway.
