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Member Withdrawal Application Form 2018

Page 1 of 1 TFG Medical Aid Scheme. Registration number 1578 is administered by Discovery Health (Pty) Ltd, registration number 1997/013480/07. Discovery Health (Pty) Ltd is an authorised financial services WithdrawalsInitials and surnameDate of BirthParticipationstatus ReasonEffective Date Family or Dependants Please note: No backdated withdrawals allowed. All withdrawals need to be submitted 3 weeks in who will receive correspondence on the Application processContact name Designation Telephone Fax Email address Preferred means of communicating (please tick one) Email c Post c Fax cContact detailsTel: 0860 123 077 PO Box 652509, Benmore 2010 TFG_11/1

TFG Medical Aid Scheme. Registration number 1578 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 1

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