Member Policy Document – Remmogo Simunye Funerals

Member Policy Document

Member Policy Document

Agent

Agent

Agent name

Agent name

Agent code

Agent code

Agent email

Main member

Names *

First name

Last *

Last name

ID number

Email *

Mobile Phone *

Cover type

Family Plans M+9 (0-74)

Individual Plans (18-64)

Pensioner Plan Plan (75-84)

Extras

Inception date

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

Proof of Payment (first premium)

Maximum file size: 5MB

Beneficiaries

If you are human, leave this field blank.

Address

1970 Block R
Soshanguve
0152

Email

info@remmogofunerals.co.za

Phone

Office: 012 065 5656
WhatsApp: 076 547 8416

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

Features

Social Media

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

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