Orphanage Form

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Orphanage
Orphanage Form

Deservant Personal Details

Full Name

Add Your Picture

S/O, D/O, W/O

Relation with

S/O D/O W/O

Full Address

Contact Number

Your Caste

Date of Birth

Are You Muslim

Yes No

Number of Department / Family Member

Eligibility Criteria

Are you comfortable with Zakat and Sadqa receiving?

Yes No

Do you have any basic source of income or anyone in home/family can earn basic income?

Yes No

Explain source of income

Are you Widow or having a widow under Sponsorship?

Yes No

Provide widow details

Do you have 18 or above years male in family?

Yes No

Status / Condition of male member

Do you have any relationship with Asmaan Foundation Employee or any of associated?

Yes No

Explain Relation

Observational Assessment

If applicant is deservant, categorize accordingly.

Orphan Disable Widow Aged

Current financial status of deservant/ applicant?

Unstable Very Poor Under Poverty Line

Physical & Health status of deservant/applicant ?

Healthy Normal Disable Sick

Additional Notes

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