ICNM charity form

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ICNM charity form

Please share your email if you have one otherwise write "no email" *

First and Last name *

Your home address and phone number *

Driving license or any govt issued ID *

Your Religion *

Nationality, if refugee please mention *

Total members in the family, mention A for adult and M for minors and your relationship with them *

Name & relationship of the earning members in the family *

Are you getting any support from government or organization please write how much from each organization and how often. *

Are you zakat eligible if yes please write what makes you eligible, if not please write I am not eligible. We will find other resources for you IA. *

Your age *

If you attended school and earned a degree please write that. *

Pease write few lines about your current situation and for how long you think you need support. Feel free to share any hardships you are going through. *

Support which we provide is supplemental and depends on the size and need of family .Please let us know if this helpful and if offered will you accept. *

Please list your monthly expenses *

Please list place of employment and your monthly earnings. *

Do you receive child support or any other support and list the amount *

Please list at least 2 names with phone numbers and relationship of anyone with whom you are familiar and who can confirm or verify your information, references should not be immediate family members or zakat recipient from ICNM.Muslim references are preferred. *

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