Burial Society Application - The Federation of Synagogues

APPLICATION FOR MEMBERSHIP OF THE FEDERATION OF SYNANGOGUES BURIAL SOCIETY

"*" indicates required fields

SECTION A:

Date of form entry:*

Name*

Prefix Forenames Surname

Hebrew Name*

Your Hebrew Name Ben/Bas Father's name

Date of Birth*

Telephone no

Full Address*

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

STATE WHETHER*

SINGLE

MARRIED

DIVORCED

WIDOWED

IF MARRIED, FILL IN THE DETAILS BELOW.

Synagogue of Marriage

Date of Marriage

Name of Spouse

Spouse's Date of Birth

Hebrew Name of Spouse

Ben/Bas Father's name

This application form must be accompanied by documentary evidence of Halachic Jewish status, e.g. a Kesuvah*

Drop files here or

Max. file size: 256 MB.

Please insert below names and dates of birth of children under the age of 21.

Name

D.O.B

Have you ever been a member of the Federation Burial Society?*

Yes

If yes, state:

Synangogue:

Last date of payment:

Notes
Rule 7(b): No person shall be eligible to be admitted or continue to be a member if he/she have married or shall marry otherwise than in accordance with Orthodox Jewish Law.
Rule 24: A person becoming a member by misrepresentation of age of other particulars shall not be entitled to any benefits, nor to refund of any subcription paid.

I, the undersigned, hereby apply for membership of the Federation Burial Society subject to the rules of the Society. I declare that the foregoing particulars are correct to the best of my knowlegde and belief.

Signature

SECTION B:

Hon. Officer

Secretary