| Applicant Information | |
|---|---|
| Your Name | Michael Ngatia |
| Your Email Address | Email hidden; Javascript is required. |
| Phone Number | +254768397697 |
| Relationship to Deceased | Sibling |
| Residence | Kenya Map It |
| Deceased Information | |
| Name | Test Deceased |
| Passport Number | BK-12345 |
| Date of Death | 07/01/2026 |
| Place of Death | Nairobi, Nairobi 00200 Kenya Map It |
| Terms and Conditions | I agree to the terms and conditions. |

I agree to the terms and conditions.