Tshepo Hope Funerals

Funeral Services Application

Complete this application with the assistance of an authorised Tshepo Hope sales agent.

Agent authentication

Confirm the agent against the RepEasy representative register.

Agent cellphone number *

RepEasy agent reference

Enter the agent’s cellphone number to continue.

Oldest person and quote

The oldest covered person determines the available plan and premium.

Oldest covered person’s SA ID number * Enter all 13 digits. The date of birth and age will be calculated automatically.

Enter a valid ID number to display eligible plans.

Available plans Monthly premium

Eligible plans will appear here.

Age band *

Monthly premium (R) *

Selected monthly premium R0.00

Select a plan to continue.

Main member details

Capture the person applying for the selected funeral service plan.

Full name *

South African ID number *

Cellphone number *

Email address Required only when Online Payment is selected.

Upload main member ID copy *

Street address *

City or town *

Postal code *

Additional covered members

Do not repeat the main member here.

Select a plan first

No additional members added.

Payment information

Select how the customer would like to pay the premium.

Online Payment Pay securely online as part of this application.

EasyPay The EasyPay number will be provided on the policy schedule.

Tshepo Hope Branch Pay at a participating Tshepo Hope Funerals branch.

Payment method *

Select a payment method to see the next step.

Declaration, consent and signature

Confirm the information and ask the applicant to sign.

Applicant signature *

Sign using a finger, mouse or stylus.

Submit the customer’s application for processing. Premiums may be paid securely online, using the EasyPay number provided on the policy schedule, or at a participating Tshepo Hope Funerals branch. Final acceptance and commencement remain subject to processing and applicable terms.

Application submitted successfully

The application has been sent to Tshepo Hope Funerals.

Application reference —

Agent —

Applicant —