---
title: "Omba Bima ya Ajali - BIMA Milvik Tanzania"
description: "Jaza fomu ya kuomba bima ya ajali. Timu ya BIMA itawasiliana nawe haraka kusaidia kumaliza usajili."
keywords: "omba bima ya ajali, fomu ya bima, jiandikishe bima ajali tanzania"
url: "https://www.milvik.co.tz/bima-ya-ajali-ombi"
language: "en"
---

[ Rudi kwa Orodha ya Bei Back to Pricing ](/bima-ya-ajali)

Kiswahili English

#  Omba Bima ya Ajali Request Accident Insurance

Jaza fomu hapa chini na tutawasiliana nawe ndani ya masaa machache Fill the form below and we'll contact you within a few hours

Jina Lako Kamili Your Full Name \*

Nambari ya Simu Phone Number \*

Tutatumia nambari hii kukupigia simu We'll use this number to call you

Umri Wako Your Age \*

Umri 18-70 tu Age 18-70 only

Kazi Yako Your Occupation \-- Chagua Kazi Yako -- \-- Select Your Occupation -- Ofisi / Biashara Office / Business Usafiri \(Dereva, Bodaboda\) Transport \(Driver, Bodaboda\) Ujenzi Construction Kiwanda Factory Kilimo Agriculture Nyingine Other

Kwa Nini Unahitaji Bima ya Ajali? Why Do You Need Accident Insurance?

💡 Mfano: Ninafanya kazi ya bodaboda, nataka kulinda familia yangu, ninapata ajali mara kwa mara, n.k. 💡 Example: I work as a bodaboda rider, want to protect my family, have frequent accidents, etc.

Maswali Mengine au Maoni Other Questions or Comments \(Si Lazima\) \(Optional\)

Tuma Ombi Langu Submit My Request

Maelezo yako ni salama na yatatumika tu kwa mawasiliano na BIMA Your information is secure and will only be used by BIMA to contact you

##  Ahsante Sana\! Thank You\!

Ombi lako la bima ya ajali limepokewa. Timu yetu itawasiliana nawe kupitia simu ndani ya masaa machache kuelezea zaidi na kusaidia kumaliza usajili. Your accident insurance request has been received. Our team will contact you by phone within a few hours to explain more and help complete registration.

**Je, una swali la haraka?** **Have an urgent question?**

[ 0659 071 001 ](tel:0659071001) [ WhatsApp ](https://wa.me/255658104193)

[ Rudi kwa Orodha ya Bei Back to Pricing ](/bima-ya-ajali)

Au wasiliana nasi moja kwa moja: Or contact us directly:

[ 0659 071 001 ](tel:0659071001) | [ 0658 104 193 ](https://wa.me/255658104193) | \*150\*01\#