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Form for donors/Форма для донорів
This form is for institutions that provide humanitarian aid to Ukraine
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* Indicates required question
The list of needs is determined by the Ministry of Health of Ukraine / Перелік потреб визначений МОЗ України
The link to list of needs (
in English)
:
https://docs.google.com/spreadsheets/d/1gmflxa5GMMJvMLKgO9938kROHRpP4LLw/edit?usp=sharing&ouid=116261463563551968862&rtpof=true&sd=true
Name of the organization / Назва організації
*
Your answer
Contact person / Контактна особа
*
Your answer
Contact information / Контактна інформація (WhatsApp/email/else)
*
Your answer
How can you help? (Offer of assistance) / Як ви можете допомогти? (Пропозиція допомоги)
*
Your answer
Questions and Clarification information / Питання та роз'яснення
Your answer
The volume of the shipment (if known) / Обсяг відправлення (якщо відомий)
Your answer
The date of the shipment (if known) / Дата відправлення (якщо відома)
MM
/
DD
/
YYYY
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