Nonyanda Funeral Services
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Personal Details
Spouse Info
Policy Details
Product Benefits
Dependent Info
Extended Info
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Personal Details:
Step 1 of 7
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-Select Gender-
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Spouse Information: Skip this part if you don't have a spouse
Step 2 of 7
ID/Passport
ID must be exactly 13 digits
Name
Select Nationality
Botswana
Ethiopia
Ghana
Lesotho
Malawi
Mozambique
Namibia
South Africa
Swaziland
Zambia
Zimbabwe
Nationality
Surname
Select Gender
Male
Female
Gender
Contact Number
Policy Details:
Step 3 of 7
-Select Business-
Nonyanda Funeral Services
Branch Name
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Premium
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-Select Policy-
DD PLAN
CC PLAN
BB PLAN
EE plan
AA Plan
Single plan
Nyanda plan
Single plan 2
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Description
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Application number option
Automatic
Application Number
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Product Additional Benefits:
Step 4 of 7
-Select Benefit Name-
Nyanda plan
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Additional Benefits
Additional Cost
Dependent Information:
Step 5 of 7
Dependents Covered
Extended Information:
Step 6 of 7
Extended Covered
Review and Submit:
Step 7 of 7
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