Diaspora Interest Form

Register your diaspora interest

Tell us about your interest in supporting relatives in Nigeria through our proposed Diaspora Family Care services.

This form records your interest only. Final HMO licence approval is pending, and no beneficiary is enrolled or covered by submitting it.

Information to provide

Use your own contact details and approximate beneficiary numbers and locations. Do not provide relatives’ names, dates of birth, telephone numbers, full addresses, medical information or payment details.

Complete the form below and LifeCome HMO will route your request to the appropriate team.

Sponsor Full name

Country of residence

Email Address

Phone Number

Approximate number of intended beneficiaries

Intended beneficiaries' state and city in Nigeria

Your general question

I understand that this is an expression of interest and does not enrol or provide cover for any beneficiary.

We use your details to respond to this enquiry in accordance with our Privacy Policy. Any future beneficiary information will be requested separately through an appropriate process.

I would like to receive LifeCome HMO launch updates and service news by email. I can unsubscribe at any time.