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SOS Foundation Support Application Form

Section 1: Applicant Information Full Name: * Date of Birth: * Gender:

Male Female

National ID / Passport Number: Phone Number: * Email Address: * Address:

City / District:

Postal Code:

Country: *

Section 2: Type of Support Requested Please check all that apply:

Economic Support — financial aid for basic needs, business start-up, or job loss. Educational Support — tuition, school supplies, or skill development. Health Support — medical expenses, medications, or rehabilitation.

Please describe your current situation and why you are requesting this support: * If applicable, specify the amount or type of assistance requested:

Section 3: Household Information Number of people in your household: * Total monthly household income (local currency): Do you currently receive support from any other organization or government program?

Yes No

If yes, please specify:

Section 4: Educational Background (for Educational Support Applicants) Highest level of education completed:

Primary Secondary Vocational University Other

Current school/institution (if enrolled): Program/Field of study:

Section 5: Health Information (for Health Support Applicants) Nature of illness or medical condition: Hospital/Clinic name: Estimated medical costs: Is there a medical report or doctor’s note attached?

Yes No

Section 6: Supporting Documents Checklist

Please attach the following (if applicable):

Copy of ID or Passport Proof of income or unemployment status Proof of enrollment (for education assistance) Medical documents (for health assistance) Reference letter or community verification Any other relevant documents

Upload files (you can select multiple): Hold Ctrl/Cmd to select multiple files.

Section 7: Declaration and Consent I, , declare that all the information provided in this form is true and accurate to the best of my knowledge. I understand that providing false or misleading information may result in the rejection of my application or termination of any support granted.

I agree to the declaration above.

Home
Who we Are
- Mision & Vision
- Our Team
What we Do
Events
Donate

Home
Who we Are
- Mision & Vision
- Our Team
What we Do
Events
Donate

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