Join us – Remmogo Simunye Funerals

Skip to content

1970 Block R Soshanguve 0152
info@remmogofunerals.co.za
012 035 0183
076 547 8416

Whatsapp Facebook-f Twitter Instagram

Remmogo rectangle

Menu

Home
About us
Get covered
Gallery
Get in touch
We care
AGENT LOGIN
- Agent Reports
- Member Policy Document

Whatsapp Facebook X-twitter Instagram

Join us Online

Remmogo Application Form

Referral *

Agent *

Agent

Agent name

Agent name

Agent code

Agent code

Personal details *

ID number *

Names *

First name

Last *

Last name

First premium *

Cover Date *

Email *

Home Phone

Mobile Phone *

Address *

Address

Address

Address

City

City

State/Province

State/Province

Zip/Postal

Zip/Postal

Country

Country

Cover type *

Family Plans M+9 (0-74) *

Individual Plans (18-64) *

Pensioner Plan Plan (75-84) *

Group Society Quote *

Extras *

Main member ID *

Maximum file size: 32MB

Beneficiary list

Maximum file size: 32MB

In the event of the death of the policy holder, the holder appoints *

In the event of the death of the policy holder, the holder appoints

First name

First name

Last name

Last name

ID number *

Phone *

Email

Beneficiaries

Terms & Conditions Agreement: *

- I agree to the terms of the policy and acknowledge that all details provided are correct.

- I understand that the policy benefits will only be activated once the first premium is paid.

- I acknowledge that a waiting period applies unless otherwise specified in the plan.

- I understand that if premiums are not paid, the policy may lapse, and cover will be forfeited.

- I agree to receive communication via SMS, email, or WhatsApp for policy-related matters.

- I am aware that policy terms, including waiting periods, may vary based on the specific plan chosen.

- I confirm that all dependents listed are eligible under the age restrictions of the policy.

- I agree that claims will be processed as per the policy rules, and payouts will be subject to verification.

- I understand that the funeral service provider has the right to amend terms with prior notice.

- I acknowledge that for any additional benefits or upgrades, a revised premium may be applicable.

By submitting this form, I agree to all the terms and conditions outlined above.

If you are human, leave this field blank.

Remmogo square

Address

1970 Block R
Soshanguve
0152

Email

info@remmogofunerals.co.za

Phone

Office: 012 065 5656
WhatsApp: 076 547 8416

IMG-20240513-WA0056

IMG-20240513-WA0053

IMG-20240513-WA0057

IMG-20240513-WA0063

IMG-20240513-WA0060

IMG-20240513-WA0051

IMG-20240513-WA0062

IMG-20240513-WA0065

IMG-20240513-WA0046

IMG-20240513-WA0047

IMG-20240513-WA0035

IMG-20240513-WA0039

IMG-20230714-WA0008

IMG-20230714-WA0007

IMG-20230713-WA0018

IMG-20230713-WA0017

IMG-20230718-WA0002

IMG-20230718-WA0001

IMG-20230703-WA0022

IMG-20230703-WA0023

IMG-20230609-WA0017

IMG-20230609-WA0016

IMG-20230606-WA0003

IMG-20230606-WA0004

IMG-20230508-WA0006

IMG-20230508-WA0008

IMG-20230425-WA0004

IMG-20230425-WA0003

IMG-20230402-WA0006

IMG-20230402-WA0007

IMG-20220419-WA0088

IMG-20220419-WA0080

IMG-20220419-WA0072

IMG-20220419-WA0071

IMG-20220317-WA0015

IMG-20220317-WA0013

IMG-20220214-WA0020

IMG-20220214-WA0019

IMG-20220125-WA0023

IMG-20220125-WA0024

IMG-20220124-WA0025

IMG-20220124-WA0024

IMG-20211109-WA0052 (2)

IMG-20211109-WA0053 (2)

IMG-20211109-WA0039

IMG-20211109-WA0035

IMG-20211105-WA0043

IMG-20211105-WA0042

IMG-20210913-WA0023 (2)

IMG-20210913-WA0024 (2)

Remmogo square

076 547 8416 - 012 035 0183
info@remmogofunerals.co.za
www.remmogofunerals.co.za

Features

Home
About us
Our Plans
Gallery
Get in touch
We Care
Payments

Social Media

Whatsapp Facebook-f Instagram X-twitter

Emergency: 076 547 8416

Head Office: 012 035 0183

Soshanguve: 012 065 5656
Ga-Rankua: 012 065 5657
Limpopo: 012 065 5654
Funeral Addons: 012 065 5653

© 2024 Remmogo Simunye Group All Rights Reserved. Developed by Mmakobo Administrators