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Get ZA Safrican SADTU Extended Family Benefit Plan Application Form

NUMBER: EXT ENDED F AMI L Y DEPEND ANT S Surname: First Name: Age (Please Tick ) Identity Number: 0 - 65 66 - 74 CATEGORY OF COVER (Waiting Period) PLAN A R25 000 PLAN B R15 000 PLAN C R10 000 PLAN D R7 000 Age 0 - 65 years (6 months) * Refer to T&C for children 0-14 yrs Age 66 - 74 years (6 months) R77.00 R45.00 R35.00 R25.00 R186.50 R113.50 R76.00 R53.50 Age 75 - 84 years (12 months) R247.50 R151.00 R101.00 R71.00 Age 85 -114 years (12 months) n/a n/a n/a R140.0.

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