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IC Code:
00-00001
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If you are the Main Member applying for this policy then you may proceed. If however you are loading this application on behalf of someone else then we will require the scanned application form to be attached to this application at the bottom of this page under Member Verification. Alternatively you may exit this page now and fax the completed application form to 086 623 1822 or email it to admin@multisure.co.za

OUR PRODUCTS

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Please note that a once-off R130,00 administration fee will be deducted with your first premium.