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BOSETU Funeral Scheme (BOFUS)
Application Form
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1
Member Personal Details
2
Spouse Personal Details
3
Children(s) Details
4
Parents & Parents In Law Details
5
Extended Family Details
Member Personal Details
Choose
*
Amendments
Existing Member
New Member
Name & Surname
*
First
Last
Layout
Date of Birth
*
Branch
*
Email Address
*
Layout
Telephone (W)
Telephone (M)
Layout
Designation
*
Payroll No
*
Sector
*
Government
Associate
BOSETU Staff
ID Number
*
Physical Address
*
Postal Address
*
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Spouse Personal Details
Spouse Names
*
First
Last
Spouse Date of Birth
*
Spouse ID Number
*
Spouse Telephone (W)
Spouse Telephone (M)
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Children(s) Details
All children above 21 years are not covered by the scheme (Silver and Gold) unless proof of fulltime study, letter is provided by the institution
Layout
Child's Full Names
Relationship
Date of Birth
Layout 2
Child's Full Names
Relationship
Date of Birth
Layout 3
Child's Full Names
Relationship
Date of Birth
Layout 4
Child's Full Names
Relationship
Date of Birth
Layout 5
Child's Full Names
Relationship
Date of Birth
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Parents & Parents In Law Details
Maximum of 4 parents if married
Parents & Parents In Law Layout
Parent's Full Names
Relationship
Date of Birth
Parents & Parents In Law Layout 2
Parent's Full Names
Relationship
Date of Birth
Parents & Parents In Law Layout 3
Parent's Full Names
Relationship
Date of Birth
Parents & Parents In Law Layout 4
Parent's Full Names
Relationship
Date of Birth
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Extended Family Details
Extended members should not exceed 65 at the time of joining the scheme
Extended Family
Full Names (Extended Family)
Relationship
Date of Birth
Extended Family Layout 2
Full Names (Extended Family)
Relationship
Date of Birth
Extended Family Layout 3
Full Names (Extended Family)
Relationship
Date of Birth
Extended Family Layout 4
Full Names (Extended Family)
Relationship
Date of Birth
Extended Family Layout 5
Full Names (Extended Family)
Relationship
Date of Birth
DECLARATION
*
I hereby declare that the information stated above is true and complete to the best of my knowledge. I understand that if I have deliberately given false information or withheld any information regarding any situation, I am liable for prosecution for fraud and/or perjury.
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