Get 1 September 2018 My Medihelp Application Form 2019

This guide provides clear and comprehensive instructions for completing the 1 September 2018 My Medihelp Application Form 2019 online. By following these steps, you can ensure your application is filled out accurately and submitted successfully.

Follow the steps to complete your application form.

1. Click ‘Get Form’ button to acquire the application form and access it in the online editor.
2. Fill in the required fields in section 1, including the date from when membership is required. Ensure the applicant's ID or passport number, title, full name, gender, date of birth, and marital status are accurately provided.
3. In section 3, complete the contact details of the applicant, providing a residential address, telephone numbers, cell number, postal address, and email address.
4. Section 4 requests the details of the employer or institution responsible for subscription payments. Fill in the employer's name, branch code, and payroll number if applicable.
5. In section 5, choose a benefit option. Carefully select only one benefit option by marking an 'X.' If applicable, complete the gross monthly income details for the Necesse benefit option.
6. Provide the details of any dependants you wish to register in section 6. For each dependant, include their full name, relationship to the applicant, ID or passport number, date of birth, and contact information.
7. In section 7, indicate how subscriptions will be paid. Choose one option for debit order deductions and fill in the banking details required for all transactions.
8. For section 8, provide previous or current membership details of any medical schemes. Ensure to include the name of the scheme, membership number, and relevant dates.
9. Complete the medical questionnaire in section 9, answering each question clearly. Be sure to provide full details where necessary.
10. Review the conditions of membership section 10. By signing, you confirm that the information provided is correct and consent to the processing of your personal data.
11. Finally, save your progress. Once completed, download, print, and share the form as necessary.

Complete your documents online to ensure a smooth application process.