Create Individual

Name: 
Does the Individual have a South African ID?:
SA ID Number:
Passport Number:
Passport Valid Until:
Cell Phone Number:
Email Address:
Global ID Number:
Non-SA Identification Number:
Individual - Country of Passport-Citizenship:
Enrolling Unisite:
Subscribed Unisite:
Workspace:
Entity - Unisite Management Entity:
Juristic Representative Employee - Juristic Representative:
Is Insurance Business FSP Employee:
No
Is Service Business Employee:
No
Is Consulting Business Employee:
No
Is Underwriter Employee:
No
Is Juristic Representative Employee:
0
Is Sales Person:
No
Is Cash Collector:
No
Is Ticket Kiosk User:
No
Is Claim Checker - Pre Assessor:
No
Is Frontline FSP Employee:
No
Is Execution of Sales Employee:
No
Is Senior FSP Employee:
No
Is FSP Representative:
No
Is Executive FSP Employee:
No
Is Key Individual:
No
Is Driver:
No
Is Funeral Attendant:
No
Is Funeral Service Manager:
No
Is Stock Manager:
No
Is Data Capturer:
No
Is Claim Assessor:
No
Is Queue Screen User:
No
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