Fundi Corporate Application Form

Main Member

Initials

First name

Last name

ID/Passport Number

Birthday

Month

Day

Year

Phone number

Email Address

Gender

Male

Female

Country of Origin

Upload Copy of Main Member ID/Passport

Upload Latest Payslip

Do you have any dependents?

Yes

Benefit Activation

The date you would like your benefits to be activated by i.e 1 June 2025

Terms & Conditions Agreement

I have read and agree to the Terms & Conditions and Privacy Policy.

Consent to Data Processing

I consent to the collection and processing of my personal information for the purpose of completing this application, in accordance with the Protection of Personal Information Act (POPIA).

Marketing Communications

I agree to receive promotional offers, updates, and marketing communications from via email, SMS, or WhatsApp.