Apply For Housing Fund Zakat Foundationโ„ข
 Housing Fund Only available for refugees and Rohingya Muslims and Immigration in some countries
Sign in to Google to save your progress. Learn more
๐ŸŒ‡๐Ÿ•Œ๐Ÿคฒ๐ŸงŽโ˜ช๏ธ๏ธ *
Required
are you *
Section 1:   ๐€๐ฉ๐ฉ๐ฅ๐ข๐œ๐š๐ง๐ญ'๐ฌ ๐ƒ๐ž๐ฆ๐จ๐ ๐ซ๐š๐ฉ๐ก๐ข๐œ ๐ƒ๐š๐ญ๐š  For Housing Fund
All Data should be verified by zakat foundationโ„ข  .YOU MUST HAVE YOUR OWN MOBILE NUMBER AND EMAIL ID .
Gender *
Full Name *
๐Ÿ›๏ธ Number given by Government / government id card number *
(Driver's License/ID Number) YOU HAVE TO UPLOAD THIS ID AFTER SUBMISSION OF THIS FORM *
Detail Address ๐Ÿš๏ธ ( we send volunteer from your country to check and hand over zakat๐Ÿ“ฆafter verification ) *
City *
State *
Pin Code/Zip *
Country *
Primary Mobile  Phone Number *
Secondary Phone Or Mobile Number
E-mail *
Age: as on government document *
Section 2: Applicant's Circumstances Number of Dependents *
Column 1
1 Dependents ๐Ÿง•๐Ÿ‘ณโ€โ™‚๏ธ
2 Dependents ๐Ÿง•๐Ÿ‘ณโ€โ™‚๏ธ
3 Dependents ๐Ÿ‘ณโ€โ™€๏ธ๐Ÿง•๐Ÿ‘ณโ€โ™‚๏ธ
4 Dependents ๐Ÿ‘ณโ€โ™€๏ธ๐Ÿง•๐Ÿ‘ณโ€โ™‚๏ธ๐Ÿง•
5 Dependents ๐Ÿง•๐Ÿง•๐Ÿง•๐Ÿ‘ณโ€โ™€๏ธ๐Ÿ‘ณโ€โ™‚๏ธ
6 Dependents ๐Ÿง•๐Ÿง•๐Ÿ‘ณโ€โ™€๏ธ๐Ÿ‘ณโ€โ™‚๏ธ๐Ÿง•๐Ÿง•
7 Dependents ๐Ÿง•๐Ÿง•๐Ÿ‘ณโ€โ™€๏ธ๐Ÿ‘ณโ€โ™‚๏ธ๐Ÿง•๐Ÿง•๐Ÿ‘ณโ€โ™‚๏ธ
8 Dependents ๐Ÿง•๐Ÿง•๐Ÿ‘ณโ€โ™€๏ธ๐Ÿ‘ณโ€โ™‚๏ธ๐Ÿ‘ณโ€โ™‚๏ธ๐Ÿง•๐Ÿง•๐Ÿ‘ณโ€โ™‚๏ธ
Place of Residence *
Employment Status *
If employed, where
Job Title
Job Contact Number
Marital Status *
If married, name of spouse
Is your spouse currently employed?
Clear selection
If yes, where
Education *
Health Insurance
Clear selection
Describe reason for which You apply for Zakat State the reason you are in need, how much you need and how assistance for all or part of total from Zakat fund will meet your need *
Total household monthly income *
What is your living status? *
Total household monthly expenditure: *
Loans/debt you owe: *
List the names and phone numbers of anyone with whom you are familiar with, and can substantiate the information you provided above. *
Name of local Masjid or Muslim community Center: *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms