Application Form

Please note that our service is FREE and we don’t Charge any fees to process applications.

Same day approval!

Complete the form in full. Make sure the info is correct and true. Nett and Gross salary must be as per latest pay slip or upload your pay slip below for an accurate assessment.

R 500 000 cover from R 130 pm. Get cover for you, your family and extended family all under one policy up to R 5 million.