LORIMI Jeddah

Special Assistance - Death

Request Form
Preaching Point Information: Request Date: 22 September 2021

Preaching Point Name: SW5B - FCF

Overseer / Pastor: PASTOR ADBER SANTOS Signature:

Treasurer: BRO BENJU DE ROJAS Signature:

Approved by:

Network Leader: PASTOR JOJO EDANO Signature:

Special Assistance Request Data:

Requested by: BRO. SHERWIN MANONDO

Relationship: * FATHER
Name of Deceased: EDUARDO MANONDO
Cause of Death: ACCIDENT – FELL FROM THE TREE
Date Died: SEPTEMBER 15, 2021
Address of Internment: ANTIPOLO CITY
Contact Person: BRO, SHERWIN MANONDO
Contact Number: 966 50 301 3423

 The following are allowed: Member, Father, Mother, Legitimate Husband or Wife and Children.

Approved by Finance EXECOM:

Heinrich Varias Signature:

Roger Ciruela Signature:

Tom Aquino Signature:

Jojo Edano Signature:

Note:
The Special Assistance – Death is a benefit given to a member who is at least 3 months or more as a regular and
active member of the PP/Sector.