Tell us about your loved one

Fill in what you can. We will help with the rest. Rather talk to us? WhatsApp us on 082 560 6380.

1 About your loved one

Full name *

Date of birth

Date they passed away *

Where they were born

Where they rest

A short saying or verse

Their favourite songIt can play on their page while people read.

Their life story *

Funeral or memorial service details

2 Photos

Main photo *A photo from your phone is fine. Up to 8 MB.

More photos (up to 8)You can send more on WhatsApp, up to 50 photos in total.

3 Who can see the page

Keep the page private. Only people with the QR code or link can see it.

4 Your details

Your name *

How are you related to them?

Email *

Phone or WhatsApp *

I agree that Khumbula can keep these details and use them to reply to me. We keep your details safe under the POPIA law. *

We keep your details private. Nothing goes online until you have checked the page and said yes.

What happens next

From your form to their plaque

We get your form
Your details are kept safe and we know about it straight away.
We call you
We check the details and the plaque, and answer your questions.
You check the page
We send you the page. Tell us if anything must change.
It goes online
The page goes online, the QR code starts working and we make your plaque.