Nominate Your Cinagi Funeral Cover Beneficiary

Ready to make things a bit easier for your loved ones? This form lets you nominate your beneficiaries to receive the benefits included in your Cinagi Funeral Cover. This is all part of the amazing group Gap Cover policy provided through your employer. If you decide not to nominate anyone, no worries! The benefits will simply form part of your estate. For all the nitty-gritty details, please refer to your policy document. We've got you covered!

Member Details

Name Surname

ID Number or Passport

Member's Cinagi Policy Number

Some Important Notes

As the member, I understand the beneficiary noted below or my estate (if applicable) will receive proceeds from any benefits payable under my Cinagi Funeral policy, subject to the terms and conditions of my policy and any requirements of, or limitations imposed by law at the time of payment. I also understand that:

I can nominate a beneficiary of my choice;
If a nominee cannot be located or they pre-decease me, the portion otherwise payable to them will be payable to my estate;
If at the time of payment, a nominated beneficiary is a minor, the payment will be made to the minor’s legal guardian or a trust for the benefit of the minor or to any person we are authorised to pay under the relevant law;
I can alter my nominations at any stage, however, nominations are not effective until they are confirmed in writing by the insurer; and
Payment made to my nominated beneficiaries will be based on the latest valid nomination received and accepted by the insurer.

Main Beneficiary Details(Required)

Name Surname

ID Number or Passport(Required)

Contact Number(Required)

Email(Required)

Enter Email Confirm Email

Second Beneficiary Details(Required)

Name Surname

In the event the main beneficiary nominated has passed away prior to my death, I nominate the following as an alternate beneficiary and the main beneficiary will be excluded from receiving any benefits payable.

ID Number or Passport(Required)

Contact Number(Required)

Email(Required)

Enter Email Confirm Email

Date Signed(Required)

Signature(Required)