Member Funeral Cover Application Form

How It Works

Step 1: Choose a Plan

Select a plan that suits your needs and family structure.

Step 2: Complete the Application Form

Fill out the form online or visit our nearest branch for assistance.

Step 3: Approval & Activation

Once your application is processed, you will receive a confirmation and policy documents.

Step 4: Immediate Coverage

Your cover starts immediately after activation, ensuring peace of mind.

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Main Member Name
Address

Nominated Beneficiary for Claim of Funreal Services

Name

I hereby authorize the underwriter to pay the proceeds of this Funeral Plan Directly to Kay Led Funerals.

Date / Time
List Relations/Name /Surname/ID/Passport/DOB/Cover amount
Method of Payment

Bank Details

Declaration that I the Listed Main Member on the document, I Declare to the best of my knowledge, that the Particulars given above are true and correct & I am fully aware that only those registered above are covered by the policy In the event that I or any of the people are covered with Kay Led Funerals, should pass away, I would like for the complete claim amount to be paid out to the funeral parlour Name of Funeral Parlour: Kay Led Funerals

Commencement Date