Food Aid Request Form 粮食援助申请表
Do you know of someone in need this season? We want to help!
Kindly fill up the form below and we'll see to it that help is sent their way.
*Due to the EMCO SOP travel restriction, food aid can only be provided to residence residing in Puchong.
Food Aid Recipient 粮食援助受惠者 #1
Kindly furnish us with the details of the person receiving the food aid.
Mobile Number 联络电话
Full Residential Address 住址
Number of pax in family 家庭成员人数
Do list out the number of children and elderly (>60yo) in the family 请列出家庭中孩子和老人（大于60岁）的数量。
Are there any special needs in the family? 家庭中是否有任何特殊需求？
(physically disabled 身体残疾, chronically ill 长期患病, single parent etc 单亲等）
Reason for applying for food aid 申请粮食援助的原因
Loss of income due to lockdown 因封城而造成而失去收入
Quit job to care full time for chronically ill family member 辞职以全职照顾患有慢性疾病的家庭成员
Pay cut from employers 雇主减薪
Job loss due to injury/accident 因受伤/事故而失去工作
I have another candidate to register 我还有另一名受惠者
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