Request A Core Dreaded Disease Cover Quote Fill in your personal details below to receive a customised core dreaded disease cover quotation. Your information is secure and will only be used for this purpose.Title(Required)DrProfMrMrsMsMissRevName(Required) First Last Email(Required) Cellphone Number(Required)Alternative Contact NumberDate of birth(Required) DD slash MM slash YYYY Gender(Required) Male Female Occupation(Required)Gross monthly income(Required)R7 500 - R13 999R14 000 - R15 999R16 000 - R22 499R22 500 - R29 999R30 000 - R39 999More Than R40 000Highest qualification(Required)No matricMatric3 year diploma or Degree4 year diploma or DegreeSmoker(Required) Yes No Core dreaded disease amount(Required)Payable for cancer, heart attack, stroke or coronary artery bypass graft.R50 000R150 000R250 000R500 000R1 000 000R1 500 000R2 000 000R3 000 000R4 000 000