Begrafnis / Verassing Notulevorm en Aangehegte Dokumente
Adderley Straat 33, Oudtshoorn | Tel: 044 279 1009 | WhatsApp: 079 516 0145 | info@strydomfuneralhome.co.za

0. Polis soek eerste

Begin hier indien daar 'n polisnommer is. Die stelsel lees eers data/policy_index.json vir vinnige soek; indien dit nie bestaan nie, val dit terug na data/existing_members.csv. Dit meld die polisstatus, wys die mense op die polis, en vul die gekose oorledene se besonderhede in.

1. Lêer en konsultasie

Live BB-lys vanaf Afrihost
Gebruik hierdie lys sodat George en Oudtshoorn dieselfde BB-lêers sien. Druk “Herlaai BB-lys” om nuutste rekords te kry.

2. Stap 1: Verwydering van liggaam

Gebruik hierdie afdeling wanneer die eerste oproep inkom en die liggaam verwyder word. Hierdie inligting bly deel van dieselfde BB-lêer.

Verwydering boodskap aan familie

Hierdie is ’n aparte WhatsApp-knoppie net vir Stap 1 en beïnvloed nie die finale WhatsApp/submit-knoppie onderaan nie.

3. Oorledene besonderhede

4. Kliënt / naasbestaande / eksekuteur

4B. Magtiging / Home Affairs besonderhede

5. Diensreëlings

6. Liggaam, klere, besigtiging en draers

7. Teraardebestelling / verassing

8. As, dokumente en eiendom

Een oplaai opsie vir alle dokumente. Kies een of meer lêers.

    9. Verassing Vorm A & B Besonderhede

    10. Finansiële besonderhede, faktuur en kwitansies

    Faktuur items / produkte

    ID / KategorieBeskrywing / ProdukOpsie / DorpQtyEenheidsprysTotaalAksie
    Subtotaal
    Afslag
    Krediet / Poliswaarde
    Faktuur totaal na krediet
    Reeds betaal
    Balans

    Betalings ontvang / kwitansies

    ReceiptDatumMetodeVerwysingOntvang deurBedrag

    10. Notule / gesprek bevestiging

    11. Aanlyn handtekeninge

    Kliënt handtekening
    Konsultant handtekening

    Aangeheg A: Magtigingsbrief vir sterfteregistrasie

    Datum:

    To Whom It May Concern,
    Department of Home Affairs

    SUBJECT: AUTHORIZATION LETTER FOR DEATH REGISTRATION

    I, , with ID Number , hereby authorize , with ID Number , to act on my behalf to register the death of at the Home Affairs Office.

    I am unable to attend the registration in person for the following reason:

    I confirm that the above-mentioned person has my full permission to handle all necessary procedures and documentation relating to this matter on my behalf.

    Yours faithfully

    Full Names:
    Signature:

    Date:
    Contact Number:

    Aangeheg B: DHA informant mandaat

    Datum:

    Dear Sir/Madam

    RE: DECEASED

    Full Names of Deceased:
    ID Number:

    This letter serves to confirm that I, , ID Number , Residential Address , being the relationship to the deceased , have instructed and mandated Strydom Funeral Home to attend to the registration of death with the Department of Home Affairs.

    We kindly request that you assist the nominated staff member of Strydom Funeral Home who will sign as the informant on our behalf in order to register the death of the deceased.

    Office use only
    Informant Name and Surname
    Informant ID Number
    Informant Signature

    Yours faithfully
    Full Name and Surname:
    Signature:

    Date:
    Contact Number:

    Aangeheg C: As / Dokumente / Eiendom Register

    LêernommerOorledene
    KliëntKontak
    As houerAs aksie
    As afhaal deurSpesiale notas
    Waardevolle itemsBeskrywing
    ID dokument terugDatum

    Kliënt verifikasie handtekening:

    Aangeheg D: Terms and Conditions of a Funeral

    STRYDOM FUNERAL HOME

    I, , in respect of the late , hereby confirm the truth, accuracy and completeness of all information supplied to Strydom Funeral Home. I certify that I am the duly authorised person to instruct Strydom Funeral Home to attend to all matters as requested. I acknowledge liability for all funeral-related costs as reflected on the Pro Forma Invoice.

    1. The signed Confirmation of Discussion and Pro Forma Invoice shall form part of these Terms and Conditions.
    2. Strydom Funeral Home will make reasonable efforts to fulfil the family's wishes, but is not responsible for circumstances beyond its control.
    3. Valuables, belongings, clothing or effects not claimed within sixty (60) days may be disposed of.
    4. Unclaimed ashes after ninety (90) days may be scattered, buried, archived or otherwise handled according to applicable regulations.
    5. All costs must be settled in full before burial, cremation, memorial service or related ceremony.
    6. If an account is submitted to the Estate, the Client remains jointly and severally liable until fully settled.
    7. Disbursements and mileage are estimates and may be adjusted according to supplier confirmation or actual distance.
    8. Headstone, monument removal, relocation, repair and reinstatement costs remain for the Client's account unless agreed in writing.
    9. The Client must disclose pacemakers, implants, infectious diseases, hazardous conditions, post-mortem requirements and any special circumstances.
    10. Changes after conclusion of arrangements may result in additional costs.
    11. Notifications may be sent by telephone, SMS, email, WhatsApp or any reasonable communication method.
    12. The Client consents to Strydom Funeral Home collecting, processing, storing and distributing personal information where reasonably necessary for funeral services, death registration, insurance claims, estate administration, cremation, burial, transportation and legal compliance.
    13. The parties consent to the jurisdiction of the Magistrate's Court having jurisdiction over the principal business area of Strydom Funeral Home.
    14. No oral representation is binding unless reduced to writing and signed.
    15. The Client indemnifies Strydom Funeral Home against loss or claims arising from incorrect or incomplete information.
    16. Death certificates, ashes, personal belongings and other property shall only be released on proof of identity and written authority.
    17. Should legal action become necessary, the Client is liable for legal costs, collection commission, tracing fees and related expenses.
    18. Strydom Funeral Home is not liable for delays due to natural disasters, floods, fires, pandemics, strikes, government action, cemetery closures, supplier failures or unforeseen events.
    19. Electronic instructions and confirmations by email, WhatsApp or SMS may be relied upon.
    20. The quotation, Confirmation of Discussion, Pro Forma Invoice and these Terms shall serve as prima facie proof of indebtedness if unpaid.
    21. For cremation, the Client warrants that all legally interested persons have been consulted and that no dispute exists.
    22. Strydom Funeral Home is not liable for money, jewellery, dentures, hearing aids, spectacles, prosthetics or valuables unless recorded and accepted in writing.
    23. Liability is limited to direct damages proved by the Client and excludes indirect or consequential damages to the maximum extent permitted by law.
    24. The parties shall attempt to resolve disputes amicably before legal proceedings.
    25. If any clause is invalid, the rest remains in force.
    26. The Client declares that he/she has read, understood and accepted these Terms and Conditions.
    Client / Executor Signature:

    Date:
    Witness 1:
    Witness 2:

    CLIENT DECLARATION
    Name of Deceased:
    Client / Executor Name:
    ID Number:
    Relationship to Deceased:
    Residential Address:
    Contact Number:
    Email Address:

    Verassing Vorm A: Application for Cremation

    FORM A - APPLICATION FOR CREMATION
    All questions to be answered. Do not leave blank spaces.

    ApplicantApplicant ID
    Address
    OccupationRelationship
    Apply to crematorium
    Name of deceased
    Identity numberResidential address
    OccupationAge / Sex /
    Marital statusDate & time of death
    Place of death
    Executor / nearest surviving relative?YES / NOIf not, relationship
    Written directions?Relatives informed?
    Any objection?Suspicious death?
    Post-mortem desirable?Regular doctor
    Doctors attended illness
    Death registered?Burial Order number
    Pacemaker / implant?Occupational disease?

    I do hereby solemnly and sincerely declare that all the particulars stated above are true and that, to the best of my knowledge and belief, no material particulars have been omitted.

    Signature of applicant:

    Date:

    Verassing Vorm B: Medical Certificate

    FORM B - MEDICAL CERTIFICATE
    Certificate of Medical Attendance

    Name of deceased
    Address
    Occupation
    Identity number
    Date and hour of death
    Place of death

    Nota: Slegs die oorledene se besonderhede word hier ingevul. Die mediese vrae bly oop vir die dokter om te voltooi.

    Medical questions for doctorDoctor answer
    1. On what date and at what hour did he/she die?
    2. At which place did the deceased die?
    3. Are you a relative of the deceased?
    4. Any pecuniary interest in the death?
    5. Were you the ordinary medical attendant?
    6. Did you attend during final illness?
    7. When last did you see the deceased alive?
    8. How soon after death did you see the body?
    9. Cause of death?
    10. Other contributing cause?
    11. Mode of death?
    12. Basis of answers?
    13. Operation during final illness / within year?
    14. By whom was the deceased nursed?
    15. Persons present at death?
    16. Any doubt as to disease or cause?
    17. Violence / poison / privation / neglect suspected?
    18. Further examination desirable?
    19. Certificate for registration of death issued?

    Doctor signature: ______________________________ Registered Qualifications: ______________________________

    Name: ______________________________ Date: ______________________________

    Address: ______________________________ Tel no: ______________________________