pg. 1
ANNEX I: DELEGATION COORDINATORS
Name
Document
Type/no
Nationality
Tel No
Email
address
Type
Make /
Model
Colour
Seating
capacity
Driver’s name
License
no
Identification
License
expiry date
pg. 3
ANNEX III: AIRCRAFT CLEARANCE
THE REPUBLIC OF KENYA
OVER FLIGHT AND LANDING CLEARANCE REQUEST FORM
UNESCO - EARFAI
24th – 26th June 2024, Nairobi Kenya (To be attached with a Note Verbale)
Country/Organization_____________________________________Tel.No.-
pg. 4
For: MFDA purpose only
Flight permission number: ___________________
Signature and stamp_____________
Ref. No.______________________
Date______________________
CC: Kenya Civil Aviation Authority
Ministry of Defense
Kenya Airports Authority
National Police Service
REMARK: HAZARDOUS OR DANGEROUS CARGO DESCRIPTION MUST BE ANNEXED TO
THIS REQUEST
pg. 5
ANNEX IV: COUNTRIES WITH RISK OF YELLOW FEVER VIRUS (YFV)
TRANSMISSION
People originating from the listed countries must provide a valid certificate of
yellow fever:
AFRICA
Angola
Mali
Benin
Mauritania
Burkina Faso
Niger
Burundi
Nigeria
Cameroon
Senegal
Cote d’Ivoire
Sierra Leone
Republic of Congo
South Sudan
Central African Republic
Sudan
Democratic Republic of Congo
Togo
Chad
Uganda
Equatorial Guinea
Ghana
Ethiopia
Guinea
Gabon
Guinea Bissau
Gambia
Kenya
Liberia
CENTRAL AND SOUTH AMERICA
Brazil
Peru
Bolivia
Ecuador
Columbia
Panama
Paraguay
Venezuela
Trinidad and Tobago
Argentina
French Guyana
Guyana
Suriname
Peru
pg. 6
ANNEX V: INSURANCE COMPANIES
INSURANCE COVER
NAIROBI HOSPITAL
AGA KHAN HOSPITAL
S/NO
INSURANCE
INSURANCE
1
JUBILEE INSURANCE CO. LTD
AAR HEALTH SERVICES LIMITED
2
CO-OPERATIVE INSURANCE COMPANY
LIMITED (CIC)
AETNA GLOBAL
3
UAP PROVINCIAL INSURANCE CO LTD
ALLIANCE INTERNATIONAL MED SERV(AIMS)
4
APA INSURANCE COMPANY LIMITED
ALLIANZ WORLDWIDE
5
MADISON INSURANCE (LIFE ASSURANCE)
AON MINET INSURANCE BROKERS
6
BRITAM GENERAL ACCOUNT
APA INSURANCE CO. LTD
7
MINET KENYA INSURANCE BROKERS
LIMITED
AXA PP HEALTHCARE C/O AFRICA MEDILINK
8
KENYA ARMED FORCES MEDICAL
INSURANCE
BRITAM GENERAL INSURANCE
9
AAR INSURANCE KENYA LIMITED
BUPA INTERNATIONAL
10
HERITAGE INSURANCE COMPANY
CEGA GROUP
11
AFRICA MEDILINK
COPERATIVE INSURANCE
12
SAHAM ASSURANCE COMPANY KENYA
LIMITED
CORPORATE INSURANCE CO. LTD
13
GENERAL ACCIDENT (GA) INSURANCE
COMPANY
FIRST ASSURANCE CO.LTD
14
LIAISON GROUP INSURANCE BROKERS
LIMITED
GATEWAY INSURANCE COMPANY LTD
15
KENYAN ALLIANCE INSURANCE
GEMINIA INSURANCE CO. LTD
16
TAKAFUL INSURANCE OF AFRICA
GENERAL ACCIDENT INSURANCE
17
BRITISH AMERICAN INSURANCE CO
(K)
GMC INTERNATIONAL ADMINISTRATIONCLM FR
18
INSTANT INSURANCE COMPANY
LIMITED
HEALIX INTERNATIONAL
19
PACIFIC INSURANCE BROKERS (EA) LTD
HERITAGE INSURANCE CO. LTD
20
PACIS INSURANCE COMPANY LIMTED
HTH WORLDWIDE
21
ARMCHAIR INSURANCE BROKERS LIMTED
INTER MUTUELLES ASSISTANCE
22
SEDGWICK-KENYA INSURANCE BROKERS
LIMITED
INTERNATIONAL SOS ASSISTANCE
23
FIRST ASSURANCE COMPANY LIMITED
JUBILEE INSURANCE
24
ZAMARA RISK
KENINDIA ASSURANCE CO. LTD.
25
AAR INSURANCE TANZANIA LIMITED
LIAISON INSURANCE C/O LIASON CLM FRM
pg. 7
KENYATTA NATIONAL HOSPITAL
S/No
Insurance
S/No
Insurance
INPATIENT
15
LASER INSURANCE BROKERS LTD
1
AAR INSURANCE KENYA LTD
16
MADISON INSURANCE
2
AON MINET INSURANCE
17
NATIONAL HOSPITAL INSURANCE FUND
3
APA INSURANCE
18
PACIS INSURANCE
4
ALS LIMITED
19
SANLAM GENERAL INSURANCE LTD
5
BRITISH AMERICAN INSURANCE
20
TAKAFUL INSURANCE OF AFRICA
6
CIC INSURANCE
21
UAP INSURANCE
INSURANCE COVER
NAIROBI HOSPITAL
AGA KHAN HOSPITAL
S/NO
INSURANCE
INSURANCE
26
EAGLE AFRICA INSURANCE BROKERS
LIMITED
MADISON INSURANCE
27
KENBRIGHT INSURANCE BROKERS
STAFF
MSO (MEDICAL SERVICES ORGANIZATION)
C/O
28
KENINDIA ASSURANCE COMPANY
LIMITED
NOW HEALTH INTERNATIONAL C/O CLAIM
FORM
29
AFRICAN RE-INSURANCE
CORPORATION
PACIS INSURANCE COMPANY C/O PACIS CLM
FR
30
ABSA LIFE ASSURANCE KENYA LTD
PHOENIX OF EAST AFRICA ASSURA CO. C/O CL
31
BLUE SHIELD INSURANCE CO. LTD
RADIANT INSURANCE COMPANY
32
PRIME INSURANCE LIMITED
RESOLUTION HEALTH
33
PIONEER ASSURANCE
SAHAM ASSURANCE COMPANY KENYA LTD
34
CAREPAY LIMITED (M-TIBA)
TAKAFUL INSURANCE OF AFRICA
35
FIRSTASSIST INSURANCE SERVICES
LIMITED
TRIDENT INSURANCE COMPANY LTD -CLAIM
FOR
36
IAA HEALTCARE LIMITED
UAP PROVICIAL INSURANCE
37
UNISURE GROUP
AU-IBAR (AFRICAN UNION)
38
ICEA (GROUP LIFE)
VANBREDA / CIGNA INTERNATIONAL
39
LASER INSURANCE BROKERS
40
AETNA GLOBAL BENEFITS TRADITIONAL
41
MTN INSURANCE AGENCIES
42
KENINDIA ASSURANCE CO.LTD
43
CLARKSON NOTCOTT
44
CIC SOUTH SUDAN
45
SANLAM GENERAL INSURANCE
COMPANY FORMERLY GATEWAY
pg. 8
7
COMPASSION
INTERNATIONAL
OUTPATIENT
8
EAGLE AFRICA INSURANCE BR
LTD
22
NATIONAL HOSPITAL INSURANCE FUND
9
EQUITY BANK INSURANCE
(KENYA) LTD
23
AAR INSURANCE KENYA LTD
10
DEFENCE FORCES MEMORIAL
INSURANCE SCHEME
24
TAKAFUL INSURANCE OF AFRICA
11
FIRST ASSURANCE COMPANY LTD
25
UAP INSURANCE
12
HERITAGE INSURANCE
26
CIC INSURANCE
13
JUBILEE INSURANCE CO
27
EQUITY BANK INSURANCE (KENYA) LTD
14
KENYAN ALLIANCE INSURANCE
28
FIRST ASSURANCE
KENYATTA UNIVERSITY
HOSPITAL
TEACHING
RESEARCH
AND
REFERRAL
S/N
o
INSURANCE
1
JUBILEE INSURANCE
2.
BRITAM INSURANCE
3.
UAP INSURANCE
4.
CIC INSURANCE
5.
AAR INSURANCE
6.
APA INSURANCE
7.
MADISON INSURANCE
8.
LIAISON INSURANCE
9.
GA INSURANCE
10.
KENYAN ALLIANCE INSURANCE
11.
DEFENSE MEDICAL INSURANCE SCHEME (DEFMIS)
pg. 9
ANNEX VI: RADIO COMMUNICATION FORM
THE REPUBLIC OF KENYA
RADIO COMMUNICATION EQUIPMENT FORM
Country /Organization______________________
Tel.No.___________________________________
SN
Name
Holder
of
Passport
No.
Type of Radio
Serial
No.
Transmission
Frequency
Receiving
Frequency
