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About you questionnaire

Form about you questionnaire

Strictly confidential

All information provided will be kept confidential.  We will not disclose your personal information to a third party without your consent unless we are required or authorised to do so by law or other regulation.

Please provide us with some information about yourself, your spouse and financial dependents.

 The POPIA (Protection of Personal Information act) will be active from 1 July 2021.
Ascor is compliant with the new POPIA act.
Click here to familiarise yourself with our Privacy and Data protection policy.

PRIVACY AND DATA PROTECTION POLICY

About you questionnaire

Your information

Gender *
Language *

Contact details

Address details

Employer details

Tax details

Dependents

Children or adults financially dependent on you
Gender
Gender
Gender
Gender

Marital status

Relationship status *
Terms of Marriage *

The POPIA (Protection of Personal Information act)

I am aware and have read the POPIA act documentation mentioned above *

Spouse information

Gender *
Language *

Spouse contact details

Spouse employer details

Spouse tax details

Partner information

Gender *
Language *

Partner contact details

Partner employer details

Partner tax details

The POPIA (Protection of Personal Information act)

I am aware and have read the POPIA act documentation mentioned above *
Sending