请填写资料。免费食物/用品会很快送到您家门Please fill in the information and free food/supply will be delivered to your doorstep soon.



此协助只给真正需要帮助的人
This aid is only for those who are really in need.

虽然我不应该这样说话,但是还是要说,请要省钱的人不要申请。请不要这样做! I probably shouldn't say this, but I need to remind you that this assistance is not for those who just want to save some money. Please let those who are in desperate needs to receive food and assistance!

这个是给人省钱的。这是给真的需要3餐温饱的人提供协助的
Again, this is not for saving money. This is to help to those who can't even afford to put food on the table.

如果你需要食物养家养自己,请马上填写表格吧
If you need food to support yourself and your family, please fill in this form immediately.

这是简单的互助活动。目前我们从小开始,先cover槟城区 (食物只能送在槟城)
This is a simple initiative and we are only covering Penang island at the moment. (Meals are delivered within Penang island only)

希望抛砖引玉,其他州也有人也可以响应
We hope more people can join in this initiative to spread help to other states.

* KITA JAGA KITA
Sign in to Google to save your progress. Learn more
Name *
Address (PENANG ONLY) *
Phone number *
有什么特别需要协助的吗。请留言,我们愿意聆听(例如:各种生活用品,药物,食物...) If you have other needs like daily necessities, medications, food items... Please leave us a note, we'll see what we can do to help.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy