By completing this form Sancorp Investments 104 CC will provide you with an Obligation free quote.

Alternatively, you can download and complete the letter of authority, thus authorising Sancorp Investments to investigate your current short term insurance portfolio and obtain your insurance information from your current insurer.

Please ensure that all information is correct so Sancorp Investments can give you a correct quotation.




Applicant Information

First Name (Required)

Surname (Required)

Cellphone / Mobile Number (Required)

Additional Contact Number (Optional)

Primary Email Address (Required)

Name of Body Corporate (required)

Physical Address: (Required)

Managing Agent

Name: (Required)

Contact No.: (Required)

Portfolio Manager

Name: (Required)

Contact No.: (Required)

Additional Information

Policy Schedule:

Participation Quota (PQ):

Claims History:

Authorising Sancorp Investments to investigate your current short term insurance portfolio.

Letter of Authority