PAUM · MLERA Cover Registration

Dear PAUM members,

Old Mutual (our main conference sponsor) has pleased them under PAUM NEC to onboard all PAUM members under the Mlera Cover funeral policy. Please provide your details below.

Member Registration Form

Personal Details

Full name *

Gender *

Marital Status

National ID number *

Date of Birth

Phone number *

Employment number (optional)

Funeral Plan

Package / Funeral Plan

Single Adult / Family

Total Premium

Dependants

Spouse Name

Enter a number in any field below — the matching name/DOB/ID inputs will appear underneath.

Number of Children Below 23 yrs

Number of Children Above 23 yrs

Number of Dependants & Parents Below 76 yrs

Number of Dependants & Parents (76–80 yrs)

* Full name and Date of Birth required for each dependant. National ID is optional, but required for dependants 16 years and older.

* Required fields

PAUM · MLERA Cover – Old Mutual funeral policy onboarding