Protect your child's education journey up to university. Please fill in this form accurately to activate your insurance cover. All details will be kept confidential and used strictly for policy processing.
1. Applicant Details (Parent/Guardian)
Maximum entry age: 55 years
2. Next of Kin Details (Emergency Contact)
3. Policy Terms and Conditions
You must read and accept the terms before proceeding
4. Scheme Coverage & Premium Guide
| Education Level / Benefit | Bronze | Silver | Gold | Diamond |
|---|---|---|---|---|
| Primary (Per Term) | UGX 250,000 | UGX 500,000 | UGX 750,000 | UGX 1,500,000 |
| Secondary (Per Term) | UGX 500,000 | UGX 1,000,000 | UGX 1,500,000 | UGX 3,000,000 |
| Tertiary/Vocational/University (Per Semester) | UGX 1,000,000 | UGX 2,000,000 | UGX 3,750,000 | UGX 7,500,000 |
| Laptop Benefit | UGX 500,000 | UGX 1,000,000 | UGX 1,500,000 | UGX 2,000,000 |
| Funeral Benefit (Loss of Parent) | UGX 500,000 | UGX 1,000,000 | UGX 1,500,000 | UGX 2,000,000 |
| Funeral Benefit (Loss of Child) | UGX 500,000 | UGX 1,000,000 | UGX 1,500,000 | UGX 2,000,000 |
| Total Premium Payable Per Month (UGX) | UGX 20,000 | UGX 40,000 | UGX 60,000 | UGX 120,000 |
5. Child Details (Beneficiary)
Enter details for each child. Maximum 4 children per certificate.
Child 1
Auto-calculated from class/grade
Monthly x 12 x Remaining Years
6. Premium Summary (UGX)
| Children (Names) | Full Policy Period | Monthly Premium (UGX) | Total Premium for Education Period (UGX) |
|---|---|---|---|
| Child 1 | — | — | — |
| TOTAL | 0 | 0 |
7. Premium Payment Options
8. Payment Information
Any number can pay. Customer bears all transaction charges.
9. Declaration and Consent
Spades Insurance Brokers Limited
Plot 875, Makerere Kavule, Bombo Road | P.O Box 75443, Kampala, Uganda
Tel: +256 200 910 906 | WhatsApp: +256 784 642 140 | info@spades.co.ug