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Complete the attached Application Form
in full. |
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Remember to fill in the names and
passport number of your parent/guardian (if
under 21 years) and beneficiary (if over 21
years). Complete the medical questionnaire.
Your address must be the address of the
Learning Institution in South Africa and NOT
your home address. Sign the form and e-mail
it to: |
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primecare@mweb.co.za
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Send: |
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A copy of a valid passport to our
email or fax it to: |
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(011) 616-8165 or (011) 616-6632
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Pay |
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the contribution into the Bank
Account specified on the Forms
page
and e-mail or fax proof of payment to the
above address/number! |
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We will e-mail you the official Evidence
of Insurance to enable you to obtain your
visa and/or study permit! Your Membership
Card will be attached to this document! |
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Day to day benefits via a Bank Debit Card. If you don't use it you can withdraw it at the end of the year! |
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Access to 4000 Doctors countrywide! |
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Death benefits. |
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Motor accident benefits. |
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Emergency evacuation! |
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Repatriation of mortal remains! |
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Fee remission insurance! |
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Free Health Advice Line |
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Renewable annually |
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