Insurance Cover: >Self Employed
Monthly Premium:
Please provide your billing details.
Your legal first name as it appears on your ID/passport.
Your legal surname as it appears on your ID/passport.
This email will be used for all policy-related communications.
Your primary contact number for policy-related matters.
Enter your South African ID number or passport number for identification purposes.
Must be between 18 and 70 years old for policy eligibility.
Please provide your policy start details.
Should you opt for your cover to start from any other day than the 1st, one of our friendly brokers will make contact with you to confirm the applicable pro-rata amount and ensure all is in order with your policy.
Create an account for easy future checkouts.
Choose a secure password with at least 8 characters, including uppercase, lowercase, and numbers.
Re-enter your password to confirm.
Please provide your business details.
If you are a freelance guide with out a registered business name, please input your name and surname.
Your business VAT number if applicable.
If you are a freelance guide, please input the kind of guiding you do here e.g Adventure, Culture, Tour
Your main residential or postal address is required
Please provide the details of your next of kin.
Full name of your emergency contact person.
Your relationship to the emergency contact person.
Emergency contact person's phone number.
Please provide your bank account details for the monthly debit order.
The name as it appears on your bank account.
Your bank account number for monthly debit orders.
Select your bank from the list of South African banks.
The universal branch code for your bank (usually 6 digits).
The type of account you'll use for debit orders.
By checking this box, you authorize monthly debit order payments for your insurance premium.
By checking this box, you agree to our terms and conditions.
By checking this box, you agree to our privacy and POPI policy.
