Application to Become A Beneficiary

Application to be added as a beneficiary to the database of the Njamal People’s Trust.

Applicants must be 18 years of age or older.

First Name*(Required)

Last Name*(Required)

Date of Birth*(Required)

Phone*(Required)

Postal Address

Residential address*(Required)

How do you prefer to be contacted?

Phone

Post

Njamal Family group to which you belong is through which family line?

Mother

What is your mother’s name?

Your grandparents on your mother’s side

Grandmother’s name?

Grandfather’s name?

Father

What is your father’s name?

Your grandparents on your father’s side

Grandmother’s name?

Grandfather’s name?

I endorse the person named on this application as being eligible to be a beneficiary of the Njamal People’s Trust.

Signature of Elder or Representative

TIP: You can draw your signature in the box below.

Name of Elder or Representative

TIP: You can draw your signature in the box below.

Attachment checklist

Please attach a copy of your birth certificate.

Drop files here or

Max. file size: 100 MB.

Endorsement*

Endorsement(Required)

I declare that the above information in my application is true and accurate and authorise Njamal People’s Trust to verify as necessary.

I consent to my name being entered as a beneficiary of Njamal People’s Trust and agree to be bound by the terms and conditions of the Njamal People’s Trust Deed

Signature*

TIP: You can draw your signature in the box below.

Application to Become A Beneficiary

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