Burial Application Home / Burial Application 1Principal Member Information2Deceased Beneficiary Information3Burial Details4Attachments Principal Member InformationFull Name(Required) Membership Number:(Required)Phone Number:(Required)Email Address:(Required) Deceased Beneficiary InformationFull Name(Required) Relationship to Principal Member:(Required) Date of Birth: MM slash DD slash YYYY Date of Death: MM slash DD slash YYYY Burial DetailsProposed Date of Burial: MM slash DD slash YYYY Location of Burial: Estimated Cost of Burial:(Required) Attachments RequiredPlease attach the following documents with this application:Death Certificate of the Deceased(Required)Accepted file types: jpg, doc, docx, pdf, png, Max. file size: 5 MB.Itemized funeral expense bill or estimate(Required)Accepted file types: jpg, doc, docx, pdf, png, Max. file size: 5 MB.Any other documents as may be required by Umoja Financial Services(Required)Accepted file types: jpg, doc, docx, pdf, png, Max. file size: 5 MB.Terms and Conditions(Required) By signing below, I confirm that all the information provided is accurate and true to the best of my knowledge.Signature(Required)Date(Required) MM slash DD slash YYYY