Home
Services
About Us
Contact Us
Register as Family
Policy/Xeerka
- Policy Somali
- Policy English

Register as Family

HomeUmmah Wellbeing | Register as Family

Register as Family

Registration Form For Family

Policy (Somali) | Policy (English)

Select Title*

Nationality *

Phone Number*

Email address*

House/Flat No*

Road/Street*

Post Code*

Husband's / Wife's Name*

Surname*

Next kin / Emergency Contact Name*

Next kin / Phone Number*

Child1

Child2

Child3

Child4

Child5

Child6

Child7

Child8

Carruurta foomkan ku qoran Ma Adiga ayaa dhalay dhamaantood ? Are you all the parent of the childrens on this form? *

Yes

No

Hadii jawaabtu Tahay No Waxaad halkan ku qortaa waxaad u tahay Ilmahaa ! If the answer is no, then write here what your relationship is to those children.

Carruurta foomkan ku qoran dhamaantood ma wax barasho Ayey ku jiraan ? Are all the children on this form in education? *

Yes

No , Haddii jawaabtu Tahay No Ilmaha aan wax barasho ku jirini Foom kale ayaa loo buuxinayaa . If the answer is no, then that child shall fill in their own form.

Foomkan Ma Adiga Ayaa Buuxsaday? Did you fill this form yourself? *

Yes

No

Halkan ku qor Qofka buuxshay Magaciisa ! Please write the name of the person who filled in this form .

Full name and Mobile number

Ma akhrisay xeerka Iskaashiga Umma ? (Have you read the rules?)*

Yes

No

Dadka ku qoran foomkan qof ka mida dhakhtarka ama guriga xanuun ma u jiifaa? (Are any of the applicants in this form currently hospitalised or housebound (bedridden)?)

Yes

No

Dadka ku qoran foomkan dhamaantood ma haysatan degenaashada UK ee ah (Settled Status)? (Do you and all applicants mentioned in this form have a Settled Status?)

Yes

No

Foomkan wixi khalad ah ee ka yimada ma adiga ayaa masuul ka ah? (Are you responsible for any mistakes found in the form?)*

Yes

No

Dadka ku qoran foomka dhamaantood Hada ma deganyihiin UK? (Are all of the applicants mentioned in this form currently residing in the UK?)

Yes

No

Adigu ma British badtahay? Mise deganasho ayaad haysata? (Are you a British or have a UK residency?)

British

Resident

Fees

(Mature Family) Labada waalid iyo caruurta oo dhan (Both parents and all children qualify)

Haddii ay waxbarasho ku jiraan (If they are in education)
Haddii ay shaqaynayaan (If they are employed)
Haddii aanay shaqaynayn (If they are not employed)
Isku address ayay ku wada noolyihiin (All members must live at the same official address)
Sanadkii waa £100 (The fee is £100 annually)

(Young Family) Labada waalid iyo caruurta oo dhan (Both parents and all children qualify)

Haddii ay waxbarasho ku jiraan (If they are in education)
Haddii ay weli yaryar yahiin (If they are not yet old enough for school)
Haddii ay isku address yihiin (All members must live at the same official address)
Sanadkii waa £70 (The fee is £70 annually)

Waxaad soo racisaa proof of address lixbilood ee u dambeeyey mid ka mida (Upload a proof for one of the following for the last six months):

Driving Licence

Council Tax

Bank Statement

Utility Bill

Child Tax Credit

File Upload Proof of Address **

Upload

Start Date (start date for payments)

Signature*

This field should be left blank

Quick links

Home
About Us
Contact Us

Our Services

Taking Part in Funerals
Home Visits For the Elderly
Hospital Visits

Copyright © 2019 Ummah Wellbeing. All rights reserved.

Please read the policy before continuing

(Fadlan akhri xeerka intaadan sii wadin.)

The policy can be access by clicking the following links, available in both English and Somali.

(Xeerka oo ku qoran af Somali iyo Engriisiba linkiyada sarre baa laga heli karaa)

English Policy: Click here

Somali Policy: Click here