Form-6 MISSIONARY UPHOLDERS TRUST (MUT) Registration form for admissio - PDF document

1 Form-6 MISSIONARY UPHOLDERS TRUST (MUT) Registration form for admission of new member of a member mission Please send original to : Secretary/MUT Scheme & IMPACT No.30, (Old AP–341), 29th Street, Kambar Colony, Anna Nagar West, Chennai-600040 Date of Receipt For office use) REGISTRATION Number For office use). . Name of Mission 2.Details of Member 1. Name: Mr./Mrs./Miss IN CAPITAL LETTERS) 2. Sex: Male / Female (Please TICK applicable) MALE FEMALE 5.ADDRESS : AFFIX PHOTO (Passport Size) 3. Marital Status: / Single ( Please TICK applicable) MARRIED SINGLE 4. Date of Birth 6. Phone Number 7. Number of years of full-time service completed in ministry Languages Known (No.1 will be mother-tongue) 1. 2. 3. 3.Family Details NAME NAME SEX M/F DATE OF BIRTH STATUS(STUDYING - CLASS/ WORKING/MARRIED) FATHER MOTHER SPOUSE CHILD 1 CHILD 2 CHILD 3 CHILD 4 Brother or Sister Please furnish this detail only if unmarried and both parents are not living I am interested to join the MUT Scheme. I have read and understood the Guidelines of the Scheme and accept the same. Date Signature: 4.Mission recommendation: Date of joining and due date of retirement of the missionary: / Recommended and Forwarded by: (Name & Designation of Member Mission’s Authority) Signature with date and Official Seal 2 Special Instructions: 1.This form is the common registration form for the MUT Scheme which includes IMPACT, LYB & GS Schemes. All the conditions in the ‘Guidelines’ of MUT Scheme, IMPACT, LYB & GS Schemes will be applicable. 2.The membership will be effective only from the date of receipt of hard copy of the application in MUT/Chennai office along with a non-refundable registration (corpus) fee of Rs.50/-.only. 3.Membership of a missionary is eligible through member-missions approved in MUT only. If any member is retired, left the mission or expired it is the responsibility of the member-mission to inform MUT/Chennai office immediately. Contribution has to be paid by the Mission till the date of receipt of deletion intimation at MUT/Chennai office. 4.The spouse of the missionary may also be registered as member if not employed in a secular job, but equal amount of contribution is to be paid for the spouse also. 5.The maximum salary limit of a missionary to join MUT scheme will be Rs.20, 000/- at the time of first entry/registration in MUT Scheme. 6.In the event of death of a member financial relief (as regulated by the guidelines) will be paid as follows: (a)On death of a member-missionary, his spouse (or children) will be paid the death relief payment from the sacrificial contribution of fellow member-missionaries. (Full payment – Rs.125000/- under MUT Scheme.) (b)If the members are not married, the parents will be eligible for the full death relief payment as above. (c)In case of a single missionary without both parents, own brother or sister who cared for the missionary, will be paid a maximum of 20% of Death Relief amount eligible on death of a missionary and as decided by the Admin. Committee. (Rs.25000/- maximum at present) (d)Persons other than parents, children, brothers or sisters and Mission are not eligible for any death relief payment from missionaries’ contribution. (e)All other special and specific cases will be decided by the MUT Scheme Adm. Committee based on the merits of each case.