Get Bw Bpomas New Member Application Form 2023-2025

Filling out the BW BPOMAS New Member Application Form online is a straightforward process designed to help you become a member of Botswana's leading medical aid scheme. This guide will walk you through each section of the form to ensure you complete it accurately and efficiently.

Follow the steps to successfully complete the application form.

1. Click the ‘Get Form’ button to obtain the application form. This will allow you to access the document in your preferred digital format.
2. Begin with Section 1, where you will select your health plan. Ensure you review the benefits associated with each option — Standard, High, or Premium — and check the box next to your chosen plan.
3. In Section 2, enter details of the principal member. Include marital status, title, initials, surname, first name(s), sex, occupation, payroll number, ID or passport number, country of issue, date of birth, email, and contact numbers. Remember to fill in both postal and physical addresses.
4. If you are adding a spouse, complete Section 3 with their details, similar to Section 2, including title, initials, surname, first name(s), ID or passport number, contact information, and date of birth.
5. For child dependents, proceed to Section 4 and list their names, birth dates, genders, and attach certified copies of their birth certificates if applicable.
6. In Section 5, provide your medical aid history by listing any previous medical schemes you have been a member of, along with your membership number and the dates you joined and left.
7. Enter your employment information in Section 6, detailing your employer's name, basic salary, occupation, and employment start date. Ensure your employer's representative signs and stamps the section.
8. Fill out Section 7 with your banking details. Include bank name, branch name, branch code, type of account, account number, and the name of the account holder. Note: Do not use credit card details.
9. Section 8 requires disclosure of medical history and general health information. Carefully answer the questions by marking 'Yes' or 'No' as applicable, providing additional details if required.
10. Navigate to Section 9 to indicate how you heard about BPOMAS and your preferred communication method.
11. Fill out Section 10 to nominate individuals for funeral benefit payout, including their name, ID number, contacts, address, and relationship.
12. Read through and complete Section 11, which includes a declaration statement. Confirm that the information you have provided is accurate by signing and dating the form.
13. If necessary, include additional details on a separate page if certain sections were not sufficient.
14. Finally, review the checklist in Section 13 to ensure all required attachments are included. Save your completed form and retain a copy for your records. You can now download, print, or share the form as needed.

Get started on your application today by filling out the BW BPOMAS New Member Application Form online.