SENTEBALE FUNERAL SOLUTIONS (PTY) LTD

I, the undersigned declare that according to my knowledge the above information is correct and that I am obliged to abide by the terms and conditions summarized in the scheme information, I understand that failure to pay premiums on time cause my policy to lapse. 

This serves to inform you in case the insured deceased, Sentebale Funeral Solutions will be responsible for the burial as agreed by the two parties. All deductions of the funeral costs will be made from the amount received by the principal/beneficiary.All members are to complete membership application forms. Beneficiaries may be nominated.Sentebale Funeral Solutions must be informed immediately in an event a member is deceased so that the body can be removed. No one must remove the body without confirmation from Sentebale FuneralSolutions except when the body will be put on a state mortuary if the person dies in hospital.•The premium has a six month(s) waiting period before a claim can be approved. There is a twenty four (24) months waiting period on death due to suicide 1 month waiting period will apply for Accidental death.The Original or a Certified copy of the original death certificate of the Assured Life; proof of identity of the Assured Life; either the policy certificate, if available, or the application form; an official police report in the case of the death of the Assured Life due to unnatural causes; a medical report in the case of stillborn babies, indicating that the pregnancy reached the 26th (twenty-sixth) week; fullyAll monthly premiums are payable within no later than the date which the client has agreed/signed on the document (from1st – 7th of every month).If you skip 1 (one) month’s premium then you must pay double before the 7th of the following month and the policy will remain in force.If you skip 2 (two) months’ premium the policy will be cancelled and you will start as a new member paying the Joining Fee and new premium applicable to you according to your age at that time and undergo the waiting period.Nobody will be covered without a valid ID document, Passport or Asylum seekers permit , a Birth Certificate (children) or certified copies therefore Dependents added after the commencement of this policy will undergo the same Waiting Periods but calculated from the date of their submissions the Waiting Period will be calculated after the First monthly Premium is paid full.

I, the undersigned, declare that according to my knowledge the above information is correct and that I am obliged to abide by the terms and conditions summarized in the scheme information, I understand that failure to pay premiums on time will cause my policy to lapse.

In the event of death, a Claim Notification Form must be completed at our offices and must be submitted together with the relevant supporting documents to the Underwriter within six (6) months from the date of death. Failure to do so within the six months will result in the benefit being forfeited.Documents to be submitted for a claim. This document or participation certificate and proof of premium payments.Fully completed Claim Notification FormFully completed Police Report Form in cases of unnatural cause of deathProof of death: (BI-5) original or certified copy,(BI-12) original or certified copy of the Medical Certificate in respect of still births only or (BI-20),Certified copy of the Principal Member’s ID document Certified copy of the deceased’s ID document or Birth Certificate in case of a childIn the event of a claim for a full-time student aged between 21 and 25 years old, a letter confirming fulltime study at a recognized educational institution must be submitted (part-time and correspondence students are not covered as children)Faxed copies must be clearly certified. The details of the Commissioner of oaths with all the relevant details must be clearly legible. Documents submitted other than those listed, will not be accepted. Affidavits are not accepted. The Underwriter reserves the right to request any further documents or information it may deem necessary to accurately assess a claim. The Underwriter will endeavor to settle the claims within 48 hours of receiving all the required fully completed documents.