Spreadsheet: 868961d1715670181-embedded-excel-file-not-working-on-website-funeral-landing-page_quote_v4
Sheet: About You

 |  |  |  |  |  |  |  |  |  | Less than R 6,000 | Male | English | Single | Black | Eastern Cape | Yes | No Matric | Government | Aunt
 | Your Personal Details |  |  |  |  |  |  |  |  | R 6,000 - R 12,999 | Female | Afrikaans | Married | Coloured | Free State | No | Matric | Parastatal | Brother
 | Full First Names: |  | Initials: |  |  |  |  |  |  | R 13,000 - R 24,999 |  | isiNdebele | Divorced | Indian | [NAME] |  | Diploma | Private Company | Brother-in-Law
 | Surname: |  | Title: |  |  |  |  |  |  | R 25,000 or more |  | isiXhosa | Widowed | White | KwaZulu-Natal |  | Degree | Self-Employed | Cousin (child of uncle or aunt)
 | ID number: |  | Gender: |  |  |  |  |  |  |  |  | isiZulu |  | Other | Limpopo |  |  | Informal Sector | Daughter
 | [NAME]: |  | Ethnic group: |  |  |  |  |  |  |  |  | [NAME] |  |  | [NAME] |  |  |  | Daughter-in-Law
 | Home Language: |  | Highest Education |  |  |  |  |  |  |  |  | [NAME] sa [NAME] ([NAME]) |  |  | North West |  |  |  | Father
 | (All documentation will be in English) |  |  |  |  |  |  |  |  |  |  | Setswana |  |  | Northern Cape |  |  |  | Father-in-Law
 |  |  |  |  |  |  |  |  |  |  |  | siSwati |  |  | Western Cape |  |  |  | Grandchild
 | Your Contact Details |  |  |  |  |  |  |  |  |  |  | Tshivenda |  |  |  |  |  |  | Grandfather
 | Home Telephone: |  | Home Cell no: |  |  |  |  |  |  |  |  | Xitsonga |  |  |  |  |  |  | Grandmother
 | Home E-mail: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Life Partner (couple living together for less than 6 Months)
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Mother
 | Postal address: |  | Suburb: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Mother-in-Law
 | City or Town: |  | Province: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | [NAME] (son of brother or sister)
 | Postal Code: |  | Postal same as Street Address? |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Niece (daughter of brother or sister)
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Second Cousin (child of cousin)
 | Street Address: |  | Suburb: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Second Spouse
 | City or Town: |  | Province: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Sister
 | Postal Code: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Sister-in-Law
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Son
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Son-in-Law
 | Your employment details |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Spouse
 | Name of Employer: |  | Work Telephone: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Uncle
 | Main occupation: |  | Work Cell no:
 | Work E-mail: |  | Employment Sector: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Self (you, the applicant)
 | Employer Address: |  | Gross Monthly Income:
 | About your Beneficiary
 | The person you must appoint to claim & receive the policy benefits, should you pass away. This person Must be age 18 or older.
 | Full First Names: |  | Initials:
 | Surname: |  | Title:
 | Date of Birth: |  | Gender:
 | Cell no: |  | Relationship to you:
 | Confirming your Identity