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Client Information
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Identity
checkmarkIndividual
checkmarkCompany
checkmarkTrust
checkmarkPartnership
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SA ID: 13 digits. Passport: alphanumeric.
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Age: —
checkmarkMr
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checkmarkMs
checkmarkDr
checkmarkProf
Passport & Alternative IDs
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Address
Contact & Communication
checkmarkEmail
checkmarkSMS
checkmarkPost
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Demographics & Employment
checkmarkMale
checkmarkFemale
checkmarkOther
checkmarkAfrican
checkmarkColoured
checkmarkIndian
checkmarkWhite
checkmarkOther
checkmarkSingle
checkmarkMarried
checkmarkDivorced
checkmarkWidowed
checkmarkNone
checkmarkGrade 12 / Matric
checkmarkDiploma
checkmarkDegree
checkmarkPostgraduate
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checkmarkEnglish
checkmarkAfrikaans
checkmarkZulu
checkmarkXhosa
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checkmarkYes
checkmarkNo
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Detailed Policy Information
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Policy Identity
MED-001 Hospital Plan
Covers in-hospital medical expenses including surgery, ICU, and specialist consultations.
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checkmarkPending
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Dates
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Term & Frequency
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References & Documents
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Cover Details
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Cover Tier
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Basic
Third-party only
R 480/mo
Liability cover only
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Standard
Third-party, fire & theft
R 1,200/mo
+ Fire & theft vs Basic
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Comprehensive
Full cover with extras
R 2,480/mo
+ Full cover vs Standard
Sum Insured
R
Min R 50,000 · Max R 2,000,000
R
Min R 1,000 · Max R 25,000
Additional Covers
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Medical Scheme
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Scheme Details
R
Medical Questions
Fees & Cash Back
Minimum Deposit
Policy Notes
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Vet Information
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Vet Details
Policy Terms
Minimum Deposit
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Horse Information
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Policy Terms
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Loan Overview
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Loan Details
Beneficiary / Lives
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checkmarkMrs
checkmarkMs
checkmarkDr
checkmarkProf
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checkmarkSpouse
checkmarkChild
checkmarkParent
checkmarkSibling
checkmarkOther
Fees & Reinsurance
Membership
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Medical Scheme
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Banking Details
Policy Notes