Mandatory fields are denoted by *
* Question 1
Have you been accepted, or are you planning to study full time, at an institution in South Africa ?
* Question 2
Have you currently enrolled as a full time student at a South African Institution ?
* Question 3
Have you been a member of a medical scheme registered in South Africa for at least 24 months and less than 90 days have passed since your resignation from that Scheme?
Please provide certificates of membership for previous schemes.