The LIC Funeral Fund A Community Fund to Cover Funeral Costs Get in touch Funeral Fund Application Form "*" indicates required fields 1Section A: Terms & Conditions2Section B: Your Details3Section C: Next of Kin4Section D: Funeral Fund Applicants Section A: Terms & Conditions As with any service company, we have our Terms and Conditions that set out the legal basis of our relationship and, along with our Code of Practice, are there to protect everyone concerned. These arrangements can only be changed if authorised by the governing body of LIC Funeral Fund (LICFF). The Terms and Conditions are as follows:- This Contract shall be entered between LICFF and the Client by the Client filling in an application form (whether electronic or paper based). No verbal variation of the terms of this Contract shall be effective. These conditions apply to the exclusion of, and in the place of, any terms proposed or put forward by the Client; and shall only be capable of variation by a written amendment to them, approved by the governing body of LICFF. No verbal warranties, representations, agreements or assurances shall bind LICFF, other than where provided for in this Contract, or by law. Subject to the terms of this Contract, and in consideration of the payment of LICFF’s Premiums, and of any other monies which may become due under this Contract - LICFF shall pay for or cover the costs involved in Islamic funeral activities for the Deceased, from receiving the Deceased at the Collection Point; performing the required funeral activities in Islam; to transporting the Deceased to the burial destination. If the member's details (full names, dates of birth, etc) as shown in the policy schedule are incorrect at the time of the signing of the contract, the terms of this policy shall allow the member to correct the details within the first 30 days; else the contract may become void. If the member intentionally provides us with incorrect details, we are entitled to cancel this policy for security reasons. No refund would be given. If the Deceased member, or a member in the family package, resides outside the UK, we reserve the right to decline covering funeral costs for the Deceased. We may make changes to the policy terms and conditions that we reasonably consider are appropriate, due to a change in any applicable legislation, regulation or taxation. In such circumstances, we will notify you before 30 calendar days of any changes being made. The cost of funeral services offered to the registered member entails options like choosing the desired mosque and burial ground within reasonable cost, as decided by LICFF. All communication in relation to this policy will be in British English. The right to exercise any option under this policy, or to exercise any right conferred by this policy, is limited to such as allow in the terms of the policy, and are compatible with the options and benefits specified in the type of membership package contracted between the member and LICFF. All notices of concern should be sent to our principal office. The member must be a Muslim. Members of the family package must be Muslims. LIC Funeral Fund must be given the full right to contact and negotiate with third parties to perform an Islamic funeral for the deceased member. The member must be able to keep up with premium payment at the agreed date. The family of the deceased member have the option to continue to pay into the Funeral Fund Plan as a means of Sadaqah for the deceased member in order to help those who cannot afford a burial or those who have no family to take responsibility for burying their deceased. Data Protection*In accordance with the General Data Protection Regulation, data collected will be used exclusively for the purpose of registration and contacting you with regards to the Funeral Fund Project. LIC will treat your information with upmost respect and will not share or sell your data. By proceeding with this application, you understand that Lewisham Islamic Centre has a legitimate interest to collect and process your personal data in order to meet the mandatory requirements. Furthermore, you agree that Lewisham Islamic Centre may process your information. I agree to the the above terms and conditions. Section B: Your Details Any person wishing to join the LIC Funeral Fund (LICFF) must register their details in the form below. Registered members commit to pay an agreed monthly instalment for themselves and any other member of their family whom they wish to register under their contract. Proof of I.D. is required for all family members, so please bring the originals with you when you are handing in your form. The agreed amount, or "premium", would be a fixed amount, but would be subject to change if so required by LICFF giving notice of no less than 30 calendar days. The contract can be terminated by either the applicant or LICFF at any time, based on the terms and conditions of the contract - but there is no refund policy. (We would need to check the validity of this point under contract law- UCTA unfair contract terms Act). Payments are to be made by ‘Standing Order’ only. Membership is only open to Muslim residents within London/M25. Membership registration required. Family packages available. Monthly instalments must be paid in order to maintain the Funeral Fund. Instalments are fixed and paid through Standing Order. Name* DrMissMrMrsMsMx.Prof.Rev. Title Forename(s) Surname Date of birth* DD slash MM slash YYYY Address* Street Address City ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone*Email* Section C: Next of KinName* DrMissMrMrsMsMx.Prof.Rev. Title Forename(s) Surname Phone*Email* Section D: Funeral Fund ApplicantsMain Applicant Age Group*This will be the person paying the funeral fund monthly payments. Young - Under 60 (£35) Elderly - 60 or above (£45) HiddenMain Applicant Cost - Young PersonHiddenMain Applicant Cost - Elderly PersonHow would you like us to contact you?Please select an optionPhoneText Message (SMS)EmailPostWhatsAppDo you have a preferred Funeral Director?Please leave blank if no preference. Upload Main Applicant ID*Passport, Driving license etc.Max. file size: 3 GB.Upload Main Applicant Proof of Address*Utility Bill etc.Max. file size: 3 GB.Would you like to add additional people to your fund application?* Yes No Which age groups do these additional people fall into?The Funeral Fund starts with the single applicant fee either £45 or £35 depending on the age, this person will be paying the monthly fee. Either £15 or £25 is added for each new person added on the fund depending on the age of the member. For example: 1 Elderly Applicant (£45) + 2 Young Additions (£15+£15) = £75 per month. Young - Under 60 (£15 per additional person) Elderly - 60 or above (£25 per additional person) All members must be Immediate family members and Proof of I.D. will be required. If you need to add/remove names at a later date please call or email us and we will add or remove names from your policy. How many additional Young people?*Please select12345How many additional Elderly people?*Please select12345HiddenAdditional Cost - Young PeopleHiddenAdditional Cost - Elderly PeopleTotalYoung Person #1Name First Last Date of birthDay12345678910111213141516171819202122232425262728293031Month123456789101112Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Upload Young Person #1 ID*Passport, Driving license etc.Max. file size: 3 GB.Young Person #2Name First Last Date of birthDay12345678910111213141516171819202122232425262728293031Month123456789101112Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Upload Young Person #2 ID*Passport, Driving license etc.Max. file size: 3 GB.Young Person #3Name First Last Date of birthDay12345678910111213141516171819202122232425262728293031Month123456789101112Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Upload Young Person #3 ID*Passport, Driving license etc.Max. file size: 3 GB.Young Person #4Name First Last Date of birthDay12345678910111213141516171819202122232425262728293031Month123456789101112Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Upload Young Person #4 ID*Passport, Driving license etc.Max. file size: 3 GB.Young Person #5Name First Last Date of birthDay12345678910111213141516171819202122232425262728293031Month123456789101112Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Upload Young Person #5 ID*Passport, Driving license etc.Max. file size: 3 GB.Elderly Person #1Name First Last Date of birthDay12345678910111213141516171819202122232425262728293031Month123456789101112Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Upload Elderly Person #1 ID*Passport, Driving license etc.Max. file size: 3 GB.Elderly Person #2Name First Last Date of birthDay12345678910111213141516171819202122232425262728293031Month123456789101112Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Upload Elderly Person #2 ID*Passport, Driving license etc.Max. file size: 3 GB.Elderly Person #3Name First Last Date of birthDay12345678910111213141516171819202122232425262728293031Month123456789101112Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Upload Elderly Person #3 ID*Passport, Driving license etc.Max. file size: 3 GB.Elderly Person #4Name First Last Date of birthDay12345678910111213141516171819202122232425262728293031Month123456789101112Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Upload Elderly Person #4 ID*Passport, Driving license etc.Max. file size: 3 GB.Elderly Person #5Name First Last Date of birthDay12345678910111213141516171819202122232425262728293031Month123456789101112Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Upload Elderly Person #5 ID*Passport, Driving license etc.Max. file size: 3 GB. 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