7 Nhif Registration Online - Fill Online, Printable, Fillable, Blank Download Now |education portal

Nhif Registration Online - Fill Online, Printable, Fillable, Blank Download Now

PART I: MEMBER DETAILS

Surname: ..................................................................................... Other Names:......................................................... NHIF No:...................................................................................... National I.D/Passport/Alien I.D No.:....................... Date of Birth (DD/MM/YYYY):...................................................... Gender (Male/Female): .......................................... Employer/Organized Group Code: ..............................................Sponsor Code: ....................................................... Payroll/Personal No.: ................................................................... Mobile Phone No.: ................................................. Place of Residence (sub county):................................................................................................................................. E-Mail Address:............................................................................................................................................................. Postal Address:............................................................................. Post Code:.............................................................

PART II: SPOUSE DETAILS

Surname: ....................................................................... Other Names: ...................................................................... National I.D./Passport/Alien I.D. No.: ............................ Date of Birth (DD/MM/YYYY):.............................................. Gender (Male/Female):.................................................. Mobile Phone No.: ...............................................................

page1image13216 page1image13376 page1image13536 page1image13696 page1image13856 page1image14016 page1image14176 page1image14336

1

PART III: CHILDREN DETAILS AND CHOICE/ CHANGE OF FACILITY

Guidelines:

  1. Please attach a copy of Birth Certificate for each child. For children under six (6) months, a birth notification is acceptable.

  2. To choose an outpatient medical facility, please refer to the list of our accredited outpatient health facilities available in the N.H.I.F Website and Offices countrywide.

  3. To access benefits one MUST be a duly registered member and must have declared their dependant.

  4. To choose an OPC Facility, attach a copy of the contributor’s National ID 

nhif registration form

nhif outpatient form

nhif amendment form

nhif addition of dependents

www.nhif.or.ke pay online

nhif hospitals

nhif kenya rates

nhif benefits


Tags:



Related Posts


Comments (0)

Leave a Comment

Type the above code here