Package:
Premium:
R
p/m
Waiting Period:
months
Cover Amount Payout:
R
CEBOLENKOSI FUNERAL SERVICES
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Step 1: Personal Information
Title
Choose Title
Mr
Mrs
Miss
Ms
Dr
Prof
Hon
Rev
Not Specified
First Name
Second Name (optional)
Last Name
Date of Birth
ID Number
Cell No
Email
Income Day
Source of income
Select Source of Income
Salary
Self-Employed
Investments
Pension
Business Ownership
Rental Income
Freelance Work
Government Assistance
Child Support
Alimony
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Student Loans
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Step 2: Address Information
Address Street
Address City
Zip Code
Branch you'd like to be served on
Choose Branch
Durban
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Step 3: Select packages
Plans
Select plan
Main Member Only (66-75)
Main Member only (18 -65 )
Extended Family ( 0 - 17 )
Extended Family ( 18 - 65 )
Extended Family ( 66 - 75 )
Extended Family ( 78 - 80 )
Extended Family ( 81 - 84 )
Main Member and Spouse ( 18 - 65 )
Main Member and Spouse ( 66 - 75 )
PARENTS AND PARENTS IN LAW (18-65)
PARENTS AND PARENTS IN LAW (66-75)
Main Member and Spouse ( 18 - 65 )
PARENTS AND PARENTS IN LAW ( 76 -80 )
PARENTS AND PARENTS IN LAW ( 81 -84 )
Main Member & up to 6 Children (18-65)
Main Member & up to 6 Children (66-75)
Main Member , Spouse & up to 6 Children(18-65)
Main Member , Spouse & up to 6 Children ( 66 - 75 )
Member, spouse, 6 children ,4 parents & 4 other members
Member, spouse, 6 children ,4 parents & 4 other members
Package
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Details
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Action
Total: R
0.00
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