Kaeloyame (PTY) Ltd - Apply Online - Funeral Catering Services

1 Personal Info

2 Package Selection

3 Family Members

4 Review

Personal Information

Full Name *

ID Number *

Date of Birth *

Gender *

Marital Status

Email Address *

Phone Number *

Alternative Phone

Physical Address *

City/Town *

Postal Code

Select Your Package

Package Type *

Payment Frequency *

Preferred Payment Method *

Bank Name (if debit/stop order)

Account Number

Branch Code

Account Type

Family Members to Cover

Number of People to Cover *

Principal Member (You)

Full Name

ID Number

Date of Birth

Relationship

Review Your Application

Personal Information

Full Name: -

ID Number: -

Date of Birth: -

Email: -

Phone: -

Package Selection

Package: -

Payment Frequency: -

Monthly Premium: -

Coverage Summary

Number of Members: -

I confirm that the information provided is true and correct. I have read and agree to the Terms and Conditions and understand the waiting periods apply. *

Application Submitted Successfully!

Thank you for applying with Kaeloyame. Your application has been received and will be processed within 3-5 business days.

We have sent a confirmation email to with your application details.

Reference Number:

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