Get Additional Dependents Application Form - Sirago

Filling out the Additional Dependents Application Form - Sirago online is a straightforward process that ensures you provide all necessary information for proper evaluation. This guide will walk you through each section of the form to facilitate a smooth submission experience.

Follow the steps to successfully complete the form online.

1. Press the ‘Get Form’ button to obtain the form and open it in the designated editor.
2. Fill in your medical scheme membership number and the name of the medical scheme along with the option selected.
3. Indicate whether this application is part of a group by selecting 'yes' or 'no' and, if applicable, provide the name of the group.
4. Complete the principal insured details, including policy number, name and surname, ID number or passport, date of birth, and contact details.
5. In the dependants section, enter the details for each dependant, including name, ID number or passport, gender selection, relationship to the applicant, and date of birth.
6. Respond to the specific health questions related to the policyholder and dependants, ensuring to answer truthfully.
7. Provide any additional details if you answered 'yes' to any health questions in the provided section.
8. Read and understand the important information, confirming comprehension of all statements.
9. Sign and date the declaration by the applicant, ensuring all necessary consents are acknowledged.
10. Upon completion, save any changes, and proceed to download, print, or share the form as needed.

Start filling out your Additional Dependents Application Form - Sirago online today.