I hereby propose to be a member of Sopema Funerals and or other funeral scheme arrangement
offered hereunder, in accordance with the terms, conditions and exclusions of the
scheme as set out in the quotation and or policy document. I understand that a policy
summary, including my personal details, chosen benefits and claims procedures (as
intended in Section 48 of the Long-term Insurance Act), will be mailed to me. I
have 30 (thirty) days from the receipt of the Section 48 summary to cancel this
policy. If this policy is cancelled within 30 (thirty) days, any payment that has
been received by Sopema will be refunded. I’m aware of the waiting periods applicable
to this policy. There is a limit (2) two policies per Main Member and insured lives
under Sopema Funeral Scheme to a maximum of R30 000.
I, the undersigned, hereby declare and warrant that all information supplied herein,
is true and complete. I’m aware, and understand that any non-disclosure or misrepresentation
which is material to the determination of the risk by Sopema and or the underwriter,
may lead to the policy being declared null and void, in which case all premiums
paid, will be forfeited. I’m certain that the product which I’m proposing, meets
my needs and feel that I have all the necessary information in order to make an
informed decision in respect of the purchase thereof.
The Long-term benefits under this policy are subject to the provisions as set out
in the underwriter’s Statutes and the provisions of the Master Policy. The policy
shall come into force and effect on the inception date provided that the offer for
insurance made by me, the Policyholder by way of this online policy proposal process
followed, is unconditionally accepted by the underwriter and the first premium payable
and the once-off policy fee in terms of the policy are received by Sopema and the
underwriter.
By clicking the "Apply Now" Button below, I accept the above declaration. |