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Home
Products
Cover
Quote
Claims
Partners & Sponsorships
About Us
Contact Us

Partners & sponsorships

We are the undisputed leaders in this niche market and have proven our commitment to cycling through various sponsorships of cycling events and cycling teams.

Insurance Application

Event Sponsors

Partners

Get in touch

Details
Enquiry
Claims

- Telephone: 011 679 1559
- Cellular: 060 640 6363
- Fax: 086 574 6304
- E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.
Name & Surname
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Email(*)
Please enter a valid email address

Contact Number(*)
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Product Interested In

Bicycle Cover
Personal Accident Cover
Trip Cancellation Cover
SweatSafe Cover
Event Liability Cover
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Note
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Submit a Claim

Cyclesure FSP Number 3262 | Website Terms and Conditions | Email Disclaimer | Privacy Policy | Popia - Privacy & Cookies Policy

Submit a Claim

Please complete all required fields!

Name & Surname

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Email Address(*)

please enter a valid email address

Contact Number(*)

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Upload Claim Form

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Get a quote

If you have more than one bicycle to insure, you may qualify for a discount.

Please complete all required fields!

Personal Details

Name & Surname(*)

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Birthdate

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Contact Number(*)

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Email Address(*)

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Are you a PPA Member?(*)

No Yes

Please select an option

PPA Membership Number

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Type of Cyclist

Please select the trait that describes you best(*)

1. Joy Rider - You enjoy cycling - the exercise, the socializing, the pure pleasure, you occasionally participate in races. when you participate in a race you train as often as you can, commuting to work might be your thing.

2. Cycle Addict - You train like an addict, participating in as many races as possible, you like mountain biking just as much as road cycling, you will ride in all types of conditions

3. Speed Freak - Active, competitive and speed focused, a pro-rider, train as much as you can and participate in most races, you and your bicycle travel often

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How many bicycles do you want to insure ?

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Bike #1 Details

Make & Model: Bike #1(*)

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Year Model of Bike#1(*)

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Type of Bicycle : Bike #1(*)

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Is the bike new or second hand? : Bike #1(*)

New Second Hand

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Where was the bicycle #1 purchased?

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Was bicycle # 1 purchased as a

complete bicycle frame only Invalid Input

Was bicycle #1 frame repaired

No Yes Invalid Input

Please describe exactly where (on the frame) it was replaced on bicycle # 1

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Proof of Purchase for bicycle # 1 ( Invoice, Email Interaction, Photo's etc)

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Are you aware that being the second owner the manufacturer’s warranty became null and void?

Yes No Invalid Input

Replacement Value for bicycle #1

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Name of Rider

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Bike #2 Details

Make & Model: Bike #2

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Year Model of Bike#2

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Type of Bicycle : Bike #2

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Is the bike new or second hand? : Bike #2

New Second Hand Invalid Input

Where was the bicycle #2 purchased?

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Was bicycle #2 purchased as a

complete bicycle frame only Invalid Input

Was bicycle #2 frame repaired

No Yes Invalid Input

Please describe exactly where (on the frame) it was replaced on bicycle #2

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Proof of Purchase for bicycle #2 ( Invoice, Email Interaction, Photo's etc)

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Sum insured for bicycle#2

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Name of Rider

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Bike #3 Details

Make & Model: Bike #3

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Year Model of Bike#3

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Type of Bicycle : Bike #3

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Is the bike new or second hand? : Bike #3

New Second Hand Invalid Input

Where was the bicycle #3 purchase?

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Was bicycle #3 purchased as a

complete bicycle frame only Invalid Input

Was bicycle #3 frame repaired

No Yes Invalid Input

Please describe exactly where (on the frame) it was replaced on bicycle #3

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Proof of Purchase for bicycle #3 ( Invoice, Email Interaction, Photo's etc)

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Are you aware that being the second owner the manufacturer’s warranty became null and void?

Yes No Invalid Input

Replacement Value for bicycle #3

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Name of Rider

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Bike #4 Details

Make & Model: Bike #4

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Year Model of Bike#4

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Type of Bicycle : Bike #4

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Is the bike new or second hand? : Bike #4

New Second Hand Invalid Input

Where was the bicycle #4 purchased?

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Was bicycle #4 purchased as a

complete bicycle frame only Invalid Input

Was bicycle #4 frame repaired

No Yes Invalid Input

Please describe exactly where (on the frame) it was replaced on bicycle #4

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Proof of Purchase for bicycle #4 ( Invoice, Email Interaction, Photo's etc)

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Are you aware that being the second owner the manufacturer’s warranty became null and void?

Yes No Invalid Input

Replacement Value for bicycle #4

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Name of Rider

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Extras (Optional - Skip if not applicable)

Extra Item#1

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Value of item #1

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Extra Item #2

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Value of item #2

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Extra Item #3

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Value of item #3

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Additional Cover (OPTIONAL - SKIP IF NOT APPLICABLE)

Increase Personal liability

R 3 000 000 (R3.00)
R 5 000 000 (R5.00)
None Invalid Input

SweatSAFE

ER 24 SweatSAFE ID (R44.00)
ER 24 SweatSAFE 50 (R70.00)
ER 24 SweatSAFE 100 (R100.00)
None Invalid Input

Extended Personal Accident Cover (OPTIONAL - SKIP IF NOT APPLICABLE)

Covers you whilst training or participating in any cycling event

Cover	Option 1	Option 2	Option 3	Option 4
Death cover	R 25 000	R 50 000	R 100 000	R 200 000
Permanent disability % of benefit amount as per scale of benefits	R 25 000	R 50 000	R 100 000	R 200 000
Temporary Total Disability: Weekly benefit amount payable up to 52 weeks	R 500	R 1 000	R 2 000	R 3 000
Medical Expenses:	R 25 000	R 50 000	R 75 000	R 100 000
Trauma : Limit per visit	R 300	R 300	R 300	R 300
Trauma: Limit per one accident	R 3 000	R 3 000	R 3000	R 3000
Premium	R 15.00	R 22.00	R 29.00	R 41.00

How would you like us to contact you with your quote?

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Please ensure your details are entered correctly to facilitate a speedy response.

Yes, the details are correct Invalid Input

Get a quote

If you have more than one bicycle to insure, you may qualify for a discount.

Get a quote

If you have more than one bicycle to insure, you may qualify for a discount.

Get a quote

If you have more than one bicycle to insure, you may qualify for a discount.

ER24 Sweat Safe is essential medical emergency protection for active sports people and outdoor enthusiasts. It is especially popular with cyclists, dueathlon and triathlon athletes.

Medical cover needs to be immediately verifiable if you want rapid and hassle free access to private medical care, and proving proof of this cover can be a problem in a medical emergency, when minutes are precious.

ER24 SweatSafe solves this problem by making you instantly identifiable in a medical emergency with the ER24 SweatSafe band. Further, you will be allocated a personal pin number printed on the band with the ER24 call centre number. This means that a person is assured of immediate action in the event of an accident.

Options available:

SweatSafe ID – includes the combination of ER24 cover for free road or air ambulance services and a free SweatSafe band
SweatSafe 50 – includes all the SweatSafe ID benefits and in addition includes hospital expenses cover for up to R 50 000
SweatSafe 100 – includes all the SweatSafe ID benefits and in addition includes hospital expenses cover for up to R 100 000

Get a Quote Now Get a Quote Now

EAI – Ironman Event Cancellation Cover

If you are unable to take part in your pre-booked Ironman event due to unforeseen circumstances, we will cover you for your financial loss.

What I can claim for:

You can claim for unused, non-refundable prepaid expenses for your:

Event entry fee
Accommodation cost
Travel cost

When can I claim:

You can claim if you have to cancel due to the following circumstances:

Unforeseen illness, injury or death involving you, a travel companion or a close relative
Redundancy at work
Accidental damage, burglary, flooding or fire at your home while you are away, or within two days of your departure for the event
You being subjected to compulsory quarantine for the event
A city on your itinerary suffering a terrorist attack

What is not covered:

Pre-existing medical conditions
Cancellation caused by pregnancy or childbirth

Cover options:

R 10 000 premium R 600
R 20 000 premium R 900

Excess payable:

10% of claim, with a minimum of R 500

Get a Quote Now Get a Quote Now

EAI – Ironman Event Cancellation Cover Application

Event Liability Cover

Application

Please complete all required fields!

Contact Details

Name & Surname

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Contact Number(*)

Please enter your contact number

Mobile Number(*)

Please enter your mobile number

Email Address(*)

Please enter your email address

PPA Member

No Yes Invalid Input

Bike Details

Notice

Cyclesure do not insure Downhill Bicycles, contact us for more information

Bike 1
Type of Cyclist(*)

1. Joy Rider
Socializing, exercise and just for pleasure
Occasionally participate in races
Commuting to work

2. Cycle Addict
Train like an addict
Participation in many races
Enjoy other cycling disciplines as well

3. Speed Freak
Competitive and speed focused
Pro-rider
Train often
Travel often with bike

Please select an option above
Bicycle Type
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Bicycle Make
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Model of Bicycle
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Year Model
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Notice

*Please note Cyclesure needs addition info if your bike model year is 2014 & older.

Click on the button bellow, if you need one of our consultants to phone you back
Contact Me Back

Purchase Price Of Bicycle Only (*)
Please enter the value of your bike
Bike 2
Type of Cyclist

1. Joy Rider
Socializing, exercise and just for pleasure
Occasionally participate in races
Commuting to work

2. Cycle Addict
Train like an addict
Participation in many races
Enjoy other cycling disciplines as well

3. Speed Freak
Competitive and speed focused
Pro-rider
Train often
Travel often with bike

Invalid Input
Bicycle Type
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Bicycle Make
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Model of Bicycle
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Year Model
Invalid Input

Notice

*Please note Cyclesure needs addition info if your bike model year is 2014 & older.

Click on the button bellow, if you need one of our consultants to phone you back
Contact Me Back

Purchase Price Of Bicycle Only
Invalid Input
Bike 3
Type of Cyclist

1. Joy Rider
Socializing, exercise and just for pleasure
Occasionally participate in races
Commuting to work

2. Cycle Addict
Train like an addict
Participation in many races
Enjoy other cycling disciplines as well

3. Speed Freak
Competitive and speed focused
Pro-rider
Train often
Travel often with bike

Invalid Input
Bicycle Type
Invalid Input

Bicycle Make
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Model of Bicycle
Invalid Input

Year Model
Invalid Input

Notice

*Please note Cyclesure needs addition info if your bike model year is 2014 & older.

Click on the button bellow, if you need one of our consultants to phone you back
Contact Me Back

Purchase Price Of Bicycle Only
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Personal Accessories

Accessory Type

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Value

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Accessory Type

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Value

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Accessory Type

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Value

Invalid Input

Accessory Type

Invalid Input

Value

Invalid Input

Accessory Type

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Value

Invalid Input

Accessory Type

Invalid Input

Value

Invalid Input

Monthly Breakdown

Monthly Bike #1 Premium

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Monthly Bike #2 Premium

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Monthly Bike #3 Premium

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Personal Accessories Premium

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Legal Liability Options

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SASRIA Cover

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Policy Fee

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Total Monthly Fee

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Excess

Basic excess: 5% of claim, minimum R 250
Wheel excess: additional 10%
Additional 10% excess payable on claims within the first three months of the inception date of the policy
Pensioners excess: R 400

Personal Details

ID Number

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Postal Address

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Date of Birth

- - Invalid Input

PPA Membership Number

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Has any insurer ever cancelled, declined or refused to renew your insurance or imposed special terms?

No Yes Invalid Input

Notice

* Thank you for your application, one of our consultants will need to contact you in order to complete the application.

Click on the button bellow, and complete the contact form.

Contact Me Back

Why ?

Invalid Input

Have you made any cycle related claims ( wether paid or not ) or suffered any events that may have given rise to a claim, within the last three years?

No Yes Invalid Input

If yes, kindly provide information regarding the type of claim, value of claim and state if the claim was settled by the insurer

Invalid Input

Is The Rider Of Bike #2 The Same As Bike #1

Invalid Input

Name & Surname

Invalid Input

ID Number

Invalid Input

Postal Address

Invalid Input

Email Address

Invalid Input

Contact Number

Invalid Input

PPA Member

No Yes Invalid Input

PPA Membership Number

Invalid Input

Has any insurer ever cancelled, declined or refused to renew your insurance or imposed special terms?

No Yes Invalid Input

Notice

* Thank you for your application, one of our consultants will need to contact you in order to complete the application.

Click on the button bellow, and complete the contact form.

Contact Me Back

Why ?

Invalid Input

Have you had more than three cycle-related claims in the past three years?

No Yes Invalid Input

If yes, kindly provide information regarding the type of claim, value of claim and state if the claim was settled by the insurer

Invalid Input

Is The Rider Of Bike #3 The Same As Bike #1 / 2

Invalid Input

Name & Surname

Invalid Input

ID Number

Invalid Input

Postal Address

Invalid Input

Email Address

Invalid Input

Contact Number

Invalid Input

PPA Member

No Yes Invalid Input

PPA Membership Number

Invalid Input

Has any insurer ever cancelled, declined or refused to renew your insurance or imposed special terms?

No Yes Invalid Input

Notice

* Thank you for your application, one of our consultants will need to contact you in order to complete the application.

Click on the button bellow, and complete the contact form.

Contact Me Back

Why ?

Invalid Input

Have you had more than three cycle-related claims in the past three years?

No Yes Invalid Input

If yes, kindly provide information regarding the type of claim, value of claim and state if the claim was settled by the insurer

Invalid Input

Full Bike Details

Bike 1 - Full Details

Serial Number of Frame
Invalid Input

Colour of Frame
Invalid Input

Fork
Invalid Input

Make & Model of Groupset
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Gear Ratio
Invalid Input

Saddle & Saddle Pin
Invalid Input

Shocks
Front Shocks ------------------------------ Back Shocks Invalid Input

Make & Model of Wheel set
Invalid Input

Pedals
Invalid Input

Upload Photo of Bike

Invalid Input
Bike 2 - Full Details

Serial Number of Frame
Invalid Input

Colour of Frame
Invalid Input

Fork
Invalid Input

Make & Model of Groupset
Invalid Input

Gear Ratio
Invalid Input

Saddle & Saddle Pin
Invalid Input

Shocks
Front Shocks ------------------------------ Back Shocks Invalid Input

Make & Model of Wheel set
Invalid Input

Pedals
Invalid Input

Upload Photo of Bike

Invalid Input
Bike 3 - Full Details

Serial Number of Frame
Invalid Input

Colour of Frame
Invalid Input

Fork
Invalid Input

Make & Model of Groupset
Invalid Input

Gear Ratio
Invalid Input

Saddle & Saddle Pin
Invalid Input

Shocks
Front Shocks ------------------------------ Back Shocks Invalid Input

Make & Model of Wheel set
Invalid Input

Pedals
Invalid Input

Upload Photo of Bike

Invalid Input

Invalid Input

Policy Details

Date Cover Required From

- Invalid Input

Debit Order Authority

I authorise Cyclesure on behalf of The Hollard Insurance Company Limited, to draw on my account at the under mentioned institution in any manner agreed on between Cyclesure and such institution, the amount of the premium payable, and request the aforesaid institution to debit my account with all debits drawn against it by Cyclesure. All such withdrawals from my bank account by Cyclesure shall be treated as though they had been signed by me personally.

I give consent for the debit order authorization on my account Invalid Input

Name of Bank

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Branch Name

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Branch Code

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Account Type

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Account Name

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Account Number

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Policy Benefit Fee

I consent to the Cyclesure Policy Benefit Fee as indicated on the quotation and policy schedule, already included in the total monthly premium to be deducted from my account. The fee will be charged based on configuration of multiple products which we have compounded into a single policy to save on debit order charges. Assistance with determining accurate second hand values to insure bicycles on a pre-agreed value.

I consent to the Cyclesure Policy Benefit Fee Invalid Input

Policy Terms & Conditions

In order to be covered for theft the bicycle must be locked onto an immovable object when not in use.
In order to be covered for theft from a vehicle there must be clear signs of forced entry.
In order to be covered for theft from where you are residing there must be clear signs of forced entry.
In order to be covered for theft or damage in transit the bicycle must be locked to the bike caddy and the caddy must be bolted or locked onto the vehicle.
International cover to commence 3 months after inception date.

I accept to the above terms and conditions Invalid Input

Anti Spam(*)

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Confirm Contact Details

Please complete all required fields!

Name & Surname

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Email Address

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Contact Number

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Anti Spam(*)

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Careers Application

Please complete all required fields!

Name & Surname

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Email Address(*)

please enter a valid email address

Contact Number(*)

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Upload CV

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