MEMBER REGISTRATION Register with us by filling out the form below. FINITE LIFESTYLE REGISTRATION FORMHow did you know about us?Separator EMPLOYER'S DETAILS Name of Employer / Source of incomeWork details2. MEMBER DETAILSSurnameMaiden NameFirst NameGenderMaleFemaleMarital statusMarriedUnmarriedDate of BirthID/PassportTitleMr.Mrs.Miss.LanguageOccupationAddressTelephone NoWork Tel NoCell NoUser Email*Password*3. IMMEDIATE FAMILY / BENEFICIARYNameSurnameID / PassportReason for difference in surnameDate of birth4. CHILDRENCHILD 1NameDate of birthGenderMaleFemaleAgeCHILD 2NameDate of birthGenderMaleFemaleAgeCHILD 3NameDate of birthGenderMaleFemaleAgeCHILD 4NameDate of birthGenderMaleFemaleAgeCHILD 5NameDate of birthGenderMaleFemaleAgeCHILD 6NameDate of birthGenderMaleFemaleAge5. PARENTSPARENT 1Parent NameDate of birthID NumberGenderMaleFemalePARENT 2Parent NameDate of birthID NumberGenderMaleFemalePARENT 3Parent NameDate of birthID NumberGenderMaleFemalePARENT 4Parent NameDate of birthID NumberGenderMaleFemale5. STOP ORDER DETAILSBankSTDFNBNedbankPost BankBoliba Savings and CreditA/C NameBranchStop Order DateRegister Error occured. Please confirm your data and submit again: