AFPA Membership Application

Personal Details
Mailing Address
Service Details
Your National Manager's business area
Beneficiaries
Beneficiary
Beneficiary Name
Beneficiary Address
%
Percentage allocation for the beneficiary. (Example: 33)
Beneficiary
Beneficiary Name
Beneficiary Address
%
Percentage allocation for the beneficiary. (Example: 33%)
Beneficiary
Beneficiary Name
Beneficiary Address
%
Percentage allocation for the beneficiary. (Example: 33%)
Registered Industrial Agent Authority
Welfare deduction Authority
$
$