Aid Application Form

Please provide complete and accurate information. All information will be kept confidential.

Note: Fields marked with an asterisk (*) are required. Please ensure all information is accurate to help us process your application efficiently.

Personal Information

Full Name

Phone Number

Email Address

Age

Gender

Marital Status

Residential Address

Family Information

Number of Family Members

Number of Dependents

Family Members Details (Names and Ages)

Financial Information

Employment Status

Monthly Income (NGN)

Occupation/Source of Income

Estimated Monthly Expenses (NGN)

Aid Request Details

Type of Aid Needed

Amount Requested (if financial aid, in NGN)

Describe Your Current Situation

How Will This Aid Help You?

Verification Information

Reference Name (Someone who can vouch for you)

Reference Phone Number

Relationship with Reference

Supporting Documents & Media

Please upload any supporting documents (ID, utility bills, medical reports, etc.) and provide a link to your video or audio message explaining your situation.

Video/Audio Message Link (Optional but recommended)

💡 Upload your video/audio to YouTube, Google Drive, Dropbox, or any cloud storage and paste the link here.

Supporting Documents (Optional)

📄

Click to upload or drag and drop

PDF, JPG, PNG (Max 10MB each) - Multiple files allowed

Declaration

I hereby declare that all information provided in this application is true and accurate to the best of my knowledge. I understand that providing false information may result in disqualification from receiving aid. I consent to Hilful Fudul Charity verifying the information provided.

Apply for Aid