Policy Application Form

Download our official application form to get started with your funeral policy

Download Policy Application Form
Download a blank application form to apply for a funeral policy. Print, complete, and submit to your agent or our offices.

Application Form Includes:

  • Personal Information Section
  • Residential Address Details
  • Plan Selection (Turnkey, Platinum, Silver, etc.)
  • Policy Members/Beneficiaries
  • Payment & Banking Details
  • Declaration & Signature

📋 Instructions:

  1. Download the PDF application form
  2. Print the form clearly
  3. Fill in all required fields with a black pen
  4. Attach copies of required documents (ID, proof of banking)
  5. Submit to your agent or nearest Ubuntu Batho office

Need assistance? Contact us at:

📧 info@Ubuntu.Batho.co.za | 📞 +27 64 016 0726