Agent Application

Join East Africa's leading insurance platform.

Complete your application and start earning commissions as a certified Ultrasure insurance agent.

Registration steps

Fill applicationPersonal & professional info

Document verificationID and license review

Training & onboardingCertification program

Account activationStart earning

Commission rate Up to 25%

Training Free certification

Platform access Full digital tools

New agent application

Create your account

Fill in the details below to submit your agent application

Personal information

First name *

Middle name

Last name *

Date of birth *

Gender *

National ID *

Contact information

Email address *

Primary phone *

Secondary phone

Address information

Physical address *

City / Town *

County *

Postal code

Professional information

Insurance license number

Optional — can be added after approval

License expiry date

Education level

Years of experience

Previous company

Preferred branch *

Emergency contact

Contact name

Contact phone

Relationship

Account security

Password *

8+ characters

Uppercase letter

Lowercase letter

One number

Confirm password *

I agree to the Terms and Conditions and Privacy Policy *

I consent to the processing of my personal data for registration and employment purposes *

I'd like to receive updates about training opportunities and company news