Register

Join MFS Today! 😊

Becoming a part of our family is quick and easy. Register now to enjoy our services and benefits. Simply fill out the form with your details, and our team will guide you through the process. We’re here to support you every step of the way!

Type Of Plan:
Plan APlan BPlan C

Premium Cover Amount:

Member Details:

Full Name(s):	Surname:
ID Number:	Gender:
Marital Status:SingleMarriedWidow/Widower	Residential Address:
Postal Code:	Cell Number:
Tel No:	Email:

Spouse Details

Full Name(s):	Surname:
ID Number:	Cell No:

Dependents Details:

Full Name & Surname	Date of Birth	ID Number	Relationship

Nominated Beneficiary Details:

Full Name(s):	Surname:
Cell No:	ID Number:
Relationship:	Date of Birth:

Payment Method:

CashBank Transfer/EFTDebit Order
Payment Date:

Attachments: (Compulsory)

ID copies of Main Holder:	ID Copies of Spouse and Dependents:
Birth Certificates of Children under Dependents:

Previous Policy Book if switching from another policy:

Proof of debit order from the bank: