Redirection Notice
This application form is directly linked to the insurer's secure website. Auto & General Insurance Company Limited are the official underwriters of this product and such application forms need to be competed on their secure website for compliance purposes.
Your details
Let’s get to know you a little bit better.
In order to apply for Gap Cover, you have to be on a medical aid which is registered with the Council for Medical Schemes. Check if your scheme is registered here.
If you have completed the above fields yet still cannot click the button to proceed, please click on an area of whitespace and the button will become clickable.