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Global Rainbow Foundation (GRF) - Helping the needy during lockdown
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* Indicates required question
Your Full Name (as Per ID)/ Nom Complet comme sur Carte Identite Nationale
*
Your answer
Your Full Address (include any Flat No or Street No) /Addresse Residentiel
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Your answer
Your District?
*
Port Louis
Pamplemousses
Riviere Du Rempart
Flacq
Mahebourg
Savanne
Black River/Riviere Noire
Plainnes Wilhems
Moka
NIC/ID No/ Numero Carte d'Identite
*
Your answer
Your Age please?
*
Your answer
Phone Number
*
Your answer
Email Address
Your answer
Number of People Living in the house?
*
Your answer
Are you working or have worked in the past?
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Yes
No
Do you receive funds/aids/pension from other association?
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Yes
No
Describe your Issues/Problems
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Your answer
Items Requested
*
Food Pack
Other:
Required
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