VALife OSA | Subscription

VA Life Welfare Scheme

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A Self-Service Welfare Plan for Old Students' Association members.

subscription

First Name

Last Name

E-mail ID

Gender

Association

Date of Birth

Plan

Payment Frequency

ID Type

ID Number

Spouse

First Name

Last Name

E-mail ID

Relationship

Gender

Date of Birth

Beneficiary Details

First Name

Last Name

E-mail ID

Date of Birth

Relationship

Gender

Not available

| | |

Nothing Selected

(Benefiaciary)

Nothing Selected

Nothing Selected

Date of Birth :	Nothing Selected
Email :	Nothing Selected
Gender :	Nothing Selected

Nothing Selected

(Dependant 1)

Nothing Selected

Nothing Selected

Date of Birth :	Nothing Selected
Email :	Nothing Selected
Gender :	Nothing Selected

Nothing Selected

(Dependant 2)

Nothing Selected

Nothing Selected

Date of Birth :	Nothing Selected
Email :	Nothing Selected
Gender :	Nothing Selected

Nothing Selected

(Dependant 3)

Nothing Selected

Nothing Selected

Date of Birth :	Nothing Selected
Email :	Nothing Selected
Gender :	Nothing Selected

Plan Details

Lives covered	Benefit (GHS)
Member	You have not selected any plan.
Father
Mother
Spouse
Child One
Child Two
Brother
Sister

Premium (GHS)

Frequency

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