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Assistance Request Form

English 🍃🍃🍃🍃
Please fill all details correctly. This information will be used for registration and verification purposes.

All documents are kept confidential and used only for verification purposes.

Roman Urdu 🍃🍃🍃🍃
Barah-e-karam tamam maloomat nihayat durustgi aur dayanatdari ke sath faraham karein. Yeh maloomat registration, jaanch partaal aur tasdeeqi maqsad ke liye istemal ki jayegi.

Faraham karda tamam dastawizaat ko mukammal razdari ke sath mehfooz rakha jayega aur unhein sirf tasdeeq aur qanooni taqazon ke tehat istemal kiya jayega.

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Application Process - Darkhwast ka Tareeqa

Click after reading the steps

Click kareh padhne ka badh ma

Fill the Form (Form Fill Karein)

Follow the Facebook Page / WhatsApp Channel (Facebook Page / WhatsApp Channel follow karein)

Verification (Tahqeeq)

Decision (Faisla)

Support (If Approved) (Madad (Agar darkhaz Manzoor Hui))

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Follow ✅

Facebook Page

WhatsApp Channel

Kindly follow this page to ensure you don’t miss any important updates or notifications regarding your request. Following also helps prevent message delivery issues or restrictions by Facebook, which can occur when communicating with users outside our page followers.

Barah-e-karam is page ko follow karein taake aap apni request se mutaliq kisi bhi zaroori update ya notification se mehroom na rahen. Follow karne se Facebook ke message delivery issues ya restrictions se bhi bacha ja sakta hai, jo un users ke saath rabta karte waqt ho sakte hain jo page followers mein nahi hain.

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Where can we find you as a follower? Are you following us on Facebook, WhatsApp, or both? Kindly let us know so we can stay connected and keep you updated.

Aap humein follower ke tor par kahan mil sakte hain? Kya aap ne humein Facebook, WhatsApp, ya dono par follow kiya hai? Barah-e-karam bata dein taake hum aap se connected rahen aur updates share kar saken.

Facebook Page

WhatsApp Channel

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Are you a member of Al-Birr wa Al-Ihsan Foundation? ^*

Kya ap Member hai Al-Birr wa Al-Ihsan Foundation ka?

Yes (Haan)

No (Na)

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Case Id and Person Id

This is only for Members
Ya sirf Members kaliye hai

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Full Name of the Person Needing Assistance ^*

Pura Naam us Shakhs ka jise madad chahiye

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Age ^*

Umar

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Gender ^*

Jins

Male

Female

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Marital Status ^*

Azdawaji Haisiyat

Married (Shadi Shuda)

Widowed (Bewa / Widowed)

Divorced (Talaq Shuda)

Single (Ghair Shadi Shuda)

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Number of Family Members in Household ^*

Ghar ke afraad ki tadaad

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Occupation of Applicant ^*

Darkhwast dene wale ka pesha

Husband/Wife’s Occupation (if married)
Shohar/Biwi ka pesha (agar shadi shuda hain

Parent/Guardian Name (if applying for a minor)
Walidain / Guardian ka naam (agar minor ke liye apply kar rahe hain)

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Phone Number (WhatsApp preferred) ^*

Phone Number (WhatsApp behtar hai)

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Facebook ID/Username

To send updates of application.
Updates bhajne apka application ka

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Are you requesting for? ^*

Aap kis ke liye darkhwast kar rahe hain?

Yourself (Khud ke liye)

Family Member (Khandaan ke fard ke liye)

Friend (Dost ke liye)

Neighbour (Humsaya ke liye)

Domestic Worker (Maid) (Ghar ki kaam karne wali (Maid) ke liye)

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Full Name of the Person Filling Out This Form (if different)

Form bharne wale ka pura naam (agar mukhtalif ho)

Click “Next” if not applicable.
Agar zarurat nahin hai to 'Next' dabaein.

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Reason for Request (Please explain briefly) ^*

Madad ki wajah (mukhtasir wazahat karein)

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Type of Assistance Needed ^*

Kis qisam ki madad darkar hai?

Ration / Food Support (Ration / Khane ki madad)

Medical Support (Tibbi madad)

School Fee Assistance (School fees ki madad)

Wedding Support (Shadi ki madad)

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Upload Aadhar card ^*

Aadhar Card upload karein

You can drag & drop or paste as well

Maximum file size: 10MB

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Electricity Bill or Residential Proof ^*

You can drag & drop or paste as well

Maximum file size: 10MB

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Upload Income Certificate or White Ration Card

Income Certificate ya White Ration Card upload karein

Click “Next” if not applicable.
Agar zarurat nahin hai to 'Next' dabaein.

You can drag & drop or paste as well

Maximum file size: 10MB

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Upload Medical Records

Medical Records upload karein

Click “Next” if not applicable.
Agar zarurat nahin hai to 'Next' dabaein.

You can drag & drop or paste as well

Maximum file size: 10MB

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Upload School Fee Card

School Fee Card upload karein

Click “Next” if not applicable.
Agar zarurat nahin hai to 'Next' dabaein.

You can drag & drop or paste as well

Maximum file size: 10MB

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Upload Wedding Card / Invitation

Wedding Card / Dawat Nama upload karein

Click “Next” if not applicable.
Agar zarurat nahin hai to 'Next' dabaein.

You can drag & drop or paste as well

Maximum file size: 10MB

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Upload Death Certificate of Parent(s)

Walidain ka Death Certificate upload karein

Click “Next” if not applicable.
Agar zarurat nahin hai to 'Next' dabaein.

You can drag & drop or paste as well

Maximum file size: 10MB

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Upload Divorce Certificate

Talaq ya Qula ka Certificate upload karein

Click “Next” if not applicable.
Agar zarurat nahin hai to 'Next' dabaein.

You can drag & drop or paste as well

Maximum file size: 10MB

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Upload Death Certificate of Spouse

Shohar/Biwi ka Death Certificate upload karein

Click “Next” if not applicable.
Agar zarurat nahin hai to 'Next' dabaein.

You can drag & drop or paste as well

Maximum file size: 10MB

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House No / Building Name ^*

Ghar No. / Building ka naam

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Road / Area / Colony ^*

Road / Area / Colony

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Landmark

Nishan-e-makan

Click “Next” if not applicable.
Agar zarurat nahin hai to 'Next' dabaein.

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City ^*

Shehar

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Pincode ^*

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I confirm that the information provided is true and correct. ^*

Main tasdeeq karta/karti hoon ke di gayi maloomat durust aur sach hai.

I agree

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I understand verification is required before approval. ^*

Main samajhta/samajhti hoon ke manzoori se pehle tasdeeq zaroori hai.

I agree

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Signature ^*

Tasdeeq ke liye sign kare.

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How did you hear about us? ^*

Aap ne hamare bare mein kaise suna?

Facebook

Friend (Dost)

Mosque / Community

Relatives (Rishtedaar)

Neighbour (Humsaya)

Employer

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JazakAllahu Khair !

Please allow time for the creation of your Case ID and Person ID.

Barah-e-karam intezar karein taake aapka Case ID aur Person ID banaya ja sake.

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