Request for COVID-19 Relief Works
Feed the needy and refer his/her details to us. #HumHaiNa Campaign
Name of The Applicant *
Contact No. of Applicant *
Beneficiary Name *
Total No of Beneficiaries (Child/Old Age/Women/ill etc) *
Beneficiary Contact (If Any)
Beneficiary Current Address *
Type of Support Needed *
Remark (Additional Details if Any or Other Remark)
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