In order to be enrolled as a member of the East African Breweries Limited Medical Scheme, Union or Management, you are required to give details of yourself and members of your immediate family, namely:

  1. One spouse and four children aged 18 years and below (For children who are between 18 - 25 years and still in school, one must submit a letter from learning institution).
  2. Any changes affecting a member of the family which may arise during your service e.g. divorce; births or deaths should be notified with certified copies to the Human Resources Department by filling in a new form.
  3. Person whose information is not available will not receive medical attention from KBL clinic.

Do not add existing dependents if they are already enrolled in the scheme.

Full Names Of Children And Date Of Birth

Please return the form to the Human Resources Department