(New) GFF - Application Form Online

Secondary Applicant’s Details – Double Facility
Title*
Name*

First NameLast Name
Gender*
Date of Birth*

DayMonthYear
Date
Terminal Illness?

NoYes
Same as Primary Applicant’s Address
🏠 Residential Address*
My mailing address is different from my residential address
🏠 Mailing Address*
📧 Email Address*
📞 Mobile Number*
Please enter a valid phone number.
☎️ Home Phone Number
Please enter a valid phone number.
As at the date of this application, I confirm and declare that:

I permit my beneficiaries to receive a payout if they choose not to arrange my burial through NSW United Turkish Islamic Centre Inc.
I choose to be buried at:

👤 Nominee's Details
What it means to nominate a Nominee:

Your Nominee is the person or organisation we will contact when you pass away to receive your funeral benefit and make sure it is used in line with your wishes.
This may include arranging the funeral, burial, or other related expenses you have specified. Your Nominee’s role is to see that the benefit is applied as you intended. They are not responsible for paying your fees.
Primary Nominee Type*

Family member or other individual – Select this if your Nominee is someone such as your spouse, family member, or friend.Funeral service provider / Imam – Select this if your Nominee is a funeral director, funeral service provider, or Imam you wish to handle your arrangements. A Secondary Nominee must also be provided.
Note: If your Nominee is a funeral service provider or Imam, you must also nominate a Secondary Nominee (a trusted personal contact). In this case, if there is any payment remaining after funeral costs are covered, the remaining balance will be paid to your Secondary Nominee.

👤 Secondary Nominee's Details
Your Secondary Nominee is a trusted personal contact who will act if your Primary Nominee is unable or unwilling to act, or to receive any balance of an Equivalent Payment if your Primary Nominee is a funeral service provider/Imam.
Name*

First NameLast Name
Relationship to member*
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
🏠 Residential Address*

Age of Applicant 2
Age taken into account
The fees are calculated based on your Age: {finalAge}, Application type: {whatType}, Terminal illness status.

Here you can check your full rates in the Product Disclosure Statement (PDS).
Entry Fee
Rookwood Cemetery Fees
Entry Fee :
Annual Premium
${entryFee161}
${entryFee}
Payment Plan
Entry Fee Payment Plan*

UpfrontAnnual InstalmentsQuarterly InstalmentsMonthly Instalments
Annual Premium Plan*

YearlyMonthly
Entry_fee_frequency
Annual_Premium_fee_frequency
Note - Entry Fee Payment Plan:

• Upfront – Pay the full amount at the time of joining
• Annual Instalments – Pay the entry fee in 3 equal yearly payments over 2 years: first on joining, second on your 1-year anniversary, and third on your 2-year anniversary
• Quarterly Instalments – Pay the entry fee in 8 equal quarterly payments over 2 years
• Monthly Instalments – Pay the entry fee in 24 equal monthly payments over 2 years
Entry Fee First Instalment
Annual Premium First Instalment
${entryFeetoday}
${annualPremiumtoday}
Total :
${calculation124}

Final Declaration

Before submitting your application, please review and confirm the declarations below. These confirmations are required for your membership application to be processed.
I declare and confirm that
Should be Empty:

Application Form