Needs / අවශ්යතා / தேவைகள்
ReliefSupport needs info collection form.
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Email *
Name / නම / பெயர் *
Needs / අවශ්යතා / தேவைகள் *
Quantity / ප්රමාණය / அளவு
Address / ලිපිනය / முகவரி
City / නගරය / நகரம் *
Contact Number / දුරකථන අංකය / தொலைபேசி எண் *
Additional Information / අමතර තොරතුරු / கூடுதல் தகவல்
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