UMCBF Registration Funeral Plan Holder Details (If Applicable) (If Applicable) Date of Birth Select Country UgandaUnited StatesUnited Kingdom Next of Kin Details Next of Kin Country UgandaUnited StatesUnited Kingdom How Many Beneficiaries Would You Like to Add 123456789101112 Beneficiary 1 Date of Birth Beneficiary 2 Date of Birth Beneficiary 3 Date of Birth Beneficiary 4 Date of Birth Beneficiary 5 Date of Birth Beneficiary 6 Date of Birth Beneficiary 7 Date of Birth Beneficiary 8 Date of Birth Beneficiary 9 Date of Birth Beneficiary 10 Date of Birth Beneficiary 11 Date of Birth Beneficiary 12 Date of Birth Payment Account Details UGANDAN MUSLIM COMMUNITY IN UK: Lloyds Bank Account No:31352263. Sort code: 309897 Date of Initial Payment Please sign here Date I have read and understood the terms and conditions {{#message}}{{{message}}}{{/message}}{{^message}}Your submission failed. The server responded with {{status_text}} (code {{status_code}}). Please contact the developer of this form processor to improve this message. Learn more{{/message}}{{#message}}{{{message}}}{{/message}}{{^message}}It appears your submission was successful. Even though the server responded OK, it is possible the submission was not processed. Please contact the developer of this form processor to improve this message. Learn more{{/message}}Submitting…