SYRO MALABAR CULTURAL ASSOCIATION, KUWAIT

(I.E. Reg. No INDEMB/KWT/ASSN/121) Website: www.smcakuwait.org

FAMILY BENEFIT SCHEME

SMCA Regn #: _____________ FAMILY SCHEME (KD 2) SINGLE SCHEME (KD 1)

NOTE: Please use CAPITAL letters and furnish all information. Tick in the appropriate box above.
Name of the SMCA Member:

Spouse’s Name:

Residential Area in Kuwait: Abbasiya / City- Farwaniya / Fahaheel / Salmiya

Residence Tel:
Mobile: Office Tel:
E-mail ID:

Emergency Contact in Kuwait(Name):

Mobile:
Full Address in India:

Tel # in India:(with area code):

Parish in India (Name & Place):

Dioceses in India:

INFORMATION OF NOMINEE(S) / LEGAL HEIR(S)

(NOTE: For married members the Spouse shall be the DEFAULT nominee)

Percentage
Sl # Name(s) and Address Relationship
of FBS Amount
1
2
3
4

DECLARATION: I hereby declare that I read and understood the rules and regulations for the Family Benefit
Scheme (FBS) of the Syro Malabar Cultural Association and shall be abiding by the same. I also agree that in case
of any dispute regarding nominee, the decision of the SMCA Central Managing Committee shall be the final.

Date: ___________________ Applicant’s Signature: _____________________

FOR OFFICE USE ONLY

Membership #: __________ Area: ____________________________ _____________________

Sign. Area Joint Convener

FBS Fee: _________ Receipt #: ____________ Date: ____________ __________________

Sign Area Treasurer

______________ _________________ __________________

Sign. - President Sign. – Vice President Sign. – Treasurer
(Form revised in Nov 2007)
 Rules and Regulations of FBS (Ref: Article VIII - e of SMCA Bylaw)

1. All SMCA active members shall be the members of Family benefit Scheme. Along with
the duly filled application form the members should pay the stipulated fees (for family
scheme- KD 2/=and single scheme- KD1/=) so that they will be enrolled under the
scheme.

2. Indian Rupees two Lakhs shall be paid to the nominee of the active member (a) incase
of his/her death or (b) incase if he/she is permanently and fully disabled due to an
accident or disease.

3. The amount will be transferred to the nominee within 45 days of the incident. For married
members spouse shall be the nominee by default. Other nominees will be considered
only if spouse is not in the capacity to accept the FBS claim. In case of any dispute
regarding the nominee, the decision of the SMCA central managing committee shall be
final.

4. Members with family membership shall have the scheme coverage for both husband and
wife. For the incidents involving a couple, the total coverage shall be IRS. Four Lakhs.

5. The claim under the FBS shall be honoured only if the member maintains his active
membership during the current year or during the previous year. If the incident happens
out side Kuwait, the member covered under the FBS scheme should be a legal resident
of Kuwait.

6. Any payments made under the scheme shall be informed to all the active members of
the association through a circular immediately after the payment is made. The amount so
paid shall be collected from the active members within the next 45 days. The members
who fail to contribute to such FBS collection shall lose their active membership in the
association.

(Form revised in Nov 2007)