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Application to add dependants in 2018 (with …

Page 1 of 10 Remedi Medical Aid Scheme. Registration number 1430 is administered by Discovery Health (Pty) Ltd, registration number 1997/013480/07. Discovery Health (Pty) Ltd is an authorised financial services this form if you want to add dependant/s to your Remedi Medical Aid Scheme to complete this form1. Please use one letter per block, complete in black ink and print Read and understand the rules for membership (section 9).3. Sign the Application Please make sure the main member signs and dates any Please attach a copy of each dependant s identity document to this Application form. We also accept valid passports and birth certificates for Please fax this completed and signed form with any supporting documentation to 011 539 3000 or email it to you send Discovery Health (Pty) Ltd your Application form, here is what will happen: Discovery Health (Pty) Ltd will capture and check y

Remedi Medical Aid Scheme. Registration number 1430 is administered by Discovery Health (Pty) Ltd, registration number 1997/013480/07. Discovery Health (Pty) Ltd is an authorised financial services provider.Page 1 of 10

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