Fransahome for your children – Home Saving Plan Application

Fransahome - Home Saving Plan

Gender

Applicant Title

First Name *

Family Name *

Father’s name *

Maiden name *

Date of birth *

Mobile Number *

Language

Target (Capital to be saved) *

or Annual Premium (min. $600) *

Premium frequency *

Annual premium variation (2 to 10%) - Optional

Dependent gender

Dependent name *

Dependent Age at Maturity *

Dependent date of birth *

Initial Payment

(*) Required fields