Update your info

At Citizens Insurance, we believe in providing you with the service you deserve. We’re always looking for new ways to help improve and maintain the quality of service you’ve grown accustomed to. That is why we are reaching out to you to provide us with your most up-to-date information. Your participation in this campaign helps us keep and refine a continuous level of standard and excellence.

Customer Information Form

Check your personal information and win NAfl. 100,- discount on your next payment by bringing us up-to-date customer information. We raffle 2 discounts cheques among the participating customers every month. Just provide us with your most up-to-date information so we can give you the service that you deserve.

Please provide us with the following information.

Are you a current client of Citizens Insurance?

How did you become a client?

Please name your broker or agent

First name *

Last name *

Date of Birth

I.D. number

Name of zone

Address *

Email *

Mobile Phone *

What is your marital status?

What is your gender?

What is your occupation?

What type of insurance(s) do you have with Citizens Insurance?

Do you want to receive more information of any other insurance(s) offered by Citizens Insurance *

If yes, which one?