INDIVIDUAL APPLICATION FORM Barnabas Mortuary
INDIVIDUAL APPLICATION FORM Barnabas Mortuary
INDIVIDUAL APPLICATION FORM Barnabas Mortuary
Kindly fill out all the information needed, when applicable, using Black ink only
Last First Middle Membership
Name: Name Name No:_________
Residence
Address:
Contact Details: Home: Land Line Tel Cell Phone No.
No.
Date of Place of Age: Sex: M __ F __
Birth: Birth:
Nationality Citizenshi Email Add:
: p:
Church: District: Church Area office:
office:
I, the Proposed Barnabas Mortuary individual, declare under the penalty of perjury that to
the best knowledge and belief the above answers and statement are true, complete and
correctly recorded, and I agree that, this application, if approved while I am alive and
actively engage and participating in the Mission of the Seventhday adventist Church in
proclaiming the good news to others, with the understanding of all the stipulation and
undertaken by the coverage of this policy, I consent thereof:
A. Collection
1. Each Member shall contribute P5.00 every Sabbath starting January 6, 2024
2. Late Members who shall join the BMA shall retroactively contribute from January 6, 2024
to the date he join the Group.
3. Members who defer, delay or quit to contribute 2 consecutive or successive Saturdays
shall be withdrawn or remove from the Membership of the BMA and all contributed
amount shall be forfeited.
4. All Members shall intentionally contribute the weekly[Sabbath] dues every Sabbath
5. The assign collector will not be held liable to the uncollected dues from the members
B. Membership
1. The membership will cover all member of SDA families
2. Any Non SDA Families can join the membership of BMA provided that the SDA members
shall be liable for the weekly dues of the Non SDA members
3. Non SDA Families who join the BMA shall have a SDA Relative who will be liable and be
responsible for the action, collection, and explanation toward the Non SDA families.
4. Membership in individualized. It does not cover group membership.
5. Only Members of BMA shall receive the BMA mutual Fund.
C. Coverage of Benefits
1. The coverage of BMA mutual Fund shall start to release on the 10th collection or on the 1st
Sabbath of March 2024.
2. The 1st to the 10th collection of dues from the members shall be the revolving BMA mutual
Fund.
3. All claims from the members will instigate on the March 3, 2024
4. The Amount of BMA Mutual Fund that will be release to the claimant will be determined
by the members from the territory of Area 3 who have join the program.
5. All claims shall constitute a P5.00 per Decease/Demise of members from all the members
of BMA
D. Handling of Cash collection
1. Collectors shall be elected among the Members of BMA from each local church or Care
group
2. Several Collectors may be elected from each care group
3. If several collector had been elected, choose one general collector to summarize the cash
that had been collected from each local church
4. The Collector shall collect all dues from the Members of BMA
5. The collector/general shall record all collection
6. The Collector/general shall remit all the collection every sabbath to the district pastor
7. The District Pastor upon the receipt of the cash from the collector/general shall forward it
to the Area 3 treasurer
8. Payment from all claimant shall be within 2 days from receipt of call
9. Suggested payment shall be thru E-money transfer.
During the effectivity of this Barnabas Mortuary Assistance Fund, I adhere to follow
all rules and guidelines and or any amendment being occur during the period underlying
this policy.
NAME: ATTESTED
BY:
MEMBER CHURCH ELDER