Get Polmed Continuation Form

Filling out the Polmed Continuation Form online is a straightforward process that allows users to apply for continued membership with ease. This guide provides comprehensive instructions to ensure that you accurately complete each section of the form.

Follow the steps to successfully complete your application.

1. Click the 'Get Form' button to obtain the Polmed Continuation Form and open it in your preferred editor.
2. Fill in your membership number and date at the start of the form. Ensure that the date is formatted as day, month, and year (D D M M Y Y Y Y).
3. Provide your personal details including surname, full first names, title or rank, initials, identity number, gender, and marital status. If divorced, attach a copy of the final order of divorce.
4. Enter the residential address and postal address. Indicate your preferred method of receiving correspondence — email, SMS, or postal mail.
5. Select your membership type, which includes options such as pensioner, medically boarded, or severance package. Include the date of service termination or date of the main member.
6. Detail information about any dependants. Include their surnames, full first names, identity numbers, relationships to you, and gender.
7. Provide your income category by entering your basic monthly salary and ensuring to attach any necessary payslip.
8. Fill in your banking account details for refunds and direct debits. Ensure you include the bank account number, name of the bank, branch number, and type of account.
9. Complete the POPI consent section by agreeing or disagreeing to the sharing of personal health information electronically. Select your options accordingly.
10. Complete the consent and declaration section. Sign and date the form, making sure to provide your signature as the principal member or guardian if applicable.
11. Review all entries for accuracy. Once you are satisfied with your completion, save your changes, and choose to download, print, or share the form as needed.

Start completing your Polmed Continuation Form online today for a seamless process.