The Samaritan fund is established to assist members that cannot afford to pay their yearly registration fee with SAPIK due to financial difficulties. A strict criterion will be followed in order to evaluate whether a person qualify for this fund. Please take note of the Samaritan Fund criteria before completing this form. If you do not qualify according to the criteria your application will not be processed.

Please complete the form as thorough as possible and click on submit at the end of the document to ensure that the SAPIK office receive this application.