Gap Claim - Kaelo

Broker Submission

I am submitting on behalf of the policyholder

Your Full Name (broker submitting on behalf of the policyholder)

First Name

Last Name

Please enter your ID, Passport No. or your Gap Policy No. in order for us to find your policy.

Please enter the Policyholders ID, passport No or Gap Policy number in order for us to find the Policy

What would you like us to search with?

South African ID Number

Passport Number

Policy Number

South African ID Number

Passport Number

Policy Number

Cellphone No.

One Time Pin

Please enter the OTP that was SMSd to the cellphone number provided.

Gap Claim Form