Get Pula Medical Aid Forms

Filling out the Pula Medical Aid Forms online is a crucial step in securing your medical assistance. This guide provides clear, step-by-step instructions to help you navigate the form accurately and efficiently.

Follow the steps to complete your application successfully.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by selecting the type of membership that applies to you: individual or corporate member. Ensure you tick the appropriate box to indicate your choice.
3. Fill in the personal details of the principal member including title, initials, surname, first name(s), sex, date of birth, occupation, and ID or passport number. Remember to attach a certified copy of your ID as required.
4. Under the section 'About yourself', provide your basic salary, cell number, and contact details including home phone and work phone. Make sure to attach a recent copy of your pay slip that is not older than two months.
5. Complete the spouse section if you are adding a spouse. Fill in their details including title, initials, surname, first name(s), sex, date of birth, and ID or passport number. Attach copies of the marriage certificate and spouse ID if they were not previously covered.
6. If you are adding child dependents, provide their first names and surnames, birth dates, and gender. Attach the child’s birth certificate if they were not previously covered.
7. Indicate the effective date of individual membership and date of joining the fund. Provide your current Pula membership number.
8. Fill in your banking details accurately. Provide the bank name, branch name, branch code, account number, type of account, and account holder. Remember to attach proof of account, such as a cancelled cheque or bank statement.
9. Complete the nomination for funeral benefit payout section, including the name, surname, ID number, contacts, address, and relation of the nominated person.
10. If applicable, fill out your employment details and the employer warranty section, including your employer’s name, industry, and date of employment. Ensure the employer's stamp and authorized signatory are present.
11. Lastly, review all entered information for accuracy. Once confirmed, sign the application under the signature of the principal member before submitting.
12. Save changes, download, print, or share the form for your records as necessary.

Complete your Pula Medical Aid Forms online today to ensure your medical coverage and support.