Funeral Cover

: 084 889 4773 / 072 705 68 Emergency

Web: www.johngraveyard.co.zaE-mail: info@johngraveyard.co.za

Contact Us

: Branches102 W F Nkomo Street (Pretoria); 7 Machine Street, Midway (Soweto);

8037 Xorile Street, Orlando West (Soweto); Tshamutshetshete, Dopeni (Nzhelele, Venda)

Funeral cover that offers Tombstonesand beautiful Caskets and more.

Form only R17 per member

Complete Funeral Cover

(Gauteng only)

Long distance & Cross

- Border Grocery Options (Gauteng Only)

A B

Body collection,

Storage,

Casket,

Hearse,

Family car,

Gravesite tent,

Home Tent

Lowering device

50 programs

Death certificate

2X Tables

40 Chairs

Tombstone

Grave Construction

(labour)

Grave closure

Body collection

Storage

Casket

Hearse

Family car

Gravesite Tent

Lowering device

Headstone

50 programs

Death Certificate

Full Cow Half Cow

10kg chicken

10 Kg Chicken

10kg mealie meal

10kg samp

10kg rice

10kg cake flour

5L cooking oil

R17 Per member R34 per member R17 per Member R12 per Member R10 per Member

A. Benefit Options

Total Premium

B. Waiting Period

Member's age Waiting period

Below 64 years of age 6 months

Between 65 and 74 years 8 months

Between 75 and 85 years (R40 per member) 12 months

Branches: 102 W F Nkomo Street (Pretoria); 7 Machine Street, Midway (Soweto);

8037 Xorile Street, Orlando West (Soweto); Tshamutshetshete, Dopeni (Nzhelele, Venda)

Banking Details

: Prof. John Sigidi Funeral Innovations (Pty) LtdAccount Holder

� : First National Bank�Bank

.62555548464Account No

: Protea GardensBranch

Funeral Cover Membership form

1. Free State, North West, Limpopo, Mpumalanga, KZN, Botswana, Mozambique, Lesotho and Zimbabwe.2. South Africa only. 3. South Africa only.

4. R15 for tombstone, grave construc�on and grave closure cover.

4

3

2

B C D

1

Local, long distance and cross-border funeral covers

D. Covered Members

COVER INITIALS & SURNAME DATE OF BIRTH

Banking Details

: Prof. John Sigidi Funeral Innovations (Pty) LtdAccount Holder

� : First National Bank�Bank

.62555548464Account No

: Protea GardensBranch

Branches: 102 W F Nkomo Street (Pretoria); 7 Machine Street, Midway (Soweto);

8037 Xorile Street, Orlando West (Soweto); Tshamutshetshete, Dopeni (Nzhelele, Venda)

Funeral Cover Membership form

C. Main member information

Full Names & Surname

Contact Number (1)

Contact Number (2)

Local, long distance and cross-border funeral covers

Funeral Cover Membership form

Banking Details

: Prof. John Sigidi Funeral Innovations (Pty) LtdAccount Holder

� : First National Bank�Bank

.62555548464Account No

: Protea GardensBranch

Branches: 102 W F Nkomo Street (Pretoria); 7 Machine Street, Midway (Soweto);

8037 Xorile Street, Orlando West (Soweto); Tshamutshetshete, Dopeni (Nzhelele, Venda)

Local, long distance and cross-border funeral covers

E. Declarations

I, the undersigned, confirm that the information provided in this form is true and correct to the best of my knowledge.

Full Names

Signature

Date

Contact Details

Funeral Cover Membership form

Banking Details

: Prof. John Sigidi Funeral Innovations (Pty) LtdAccount Holder

� : First National Bank�Bank

.62555548464Account No

: Protea GardensBranch

Branches: 102 W F Nkomo Street (Pretoria); 7 Machine Street, Midway (Soweto);

8037 Xorile Street, Orlando West (Soweto); Tshamutshetshete, Dopeni (Nzhelele, Venda)

Funeral Cover Membership form

Local, long distance and cross-border funeral covers