Sign up for Funeral Cover Online
Simply complete form and pay online.

1
Your Details
2
Cover Options
3
Dependants
4
KYC
5
Submit & Pay
Your Personal Details
260
Please choose a payment method.
Cover Options
Spouse Details
Add Dependants
You can add up to 10 dependants (children, parents, or other family members)
to your policy.
KYC Documents
Your Quote Summary
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Personal Details
Name:
NRC:
Date of Birth:
Contact:
Marital Status:
Spouse Details
Name:
NRC:
Date of Birth:
Cover Amount:
Cover Options
Cover Amount:
Dependants
Premium Breakdown
Member Costs:
Subtotal:
Insurance Levy (5%):
PIA Levy 5%:
Policy Fee:
K5.00
Total Monthly Premium:
This quote is valid
for 30 days. Our agent will contact you to finalize the policy.
Your Monthly Premium
K0.00
for comprehensive funeral cover

Quote
Personal Details
Name:
NRC:
Date of Birth:
Contact:
Marital Status:
Premium Breakdown
Subtotal:
Insurance Levy (5%):
PIA Levy (5%):
Policy Fee:
K5.00
Total Monthly Premium: