Allah's Messenger said, "I and the one who looks after an orphan will be like this in Paradise,"
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Widow Support
Home
Widow Support
Fill our Benefit form
THE WIDOW
THE FATHER
THE ORPHANS
ACCOMODATION
EXTERNAL AIDS
FINISH
Information about the WIDOW:
Step 1 - 6
Full Name: *
Birth date: *
CIN: *
Eduaction level: *
Primary school
Secondary school
High school
Other
Job: *
Salary: *
Do you Have RAMEED card?
Yes
No
Validity of the RAMEED card*
Do you Benefit from
Widows pension
Retirement funds
None
Its value: *
Information about the FATHER:
Step 2 - 6
Full Name: *
Death date: *
Death cause: *
Job: *
Employer: *
Social Insurance:
CNSS
Retirement
None
Information about the ORPHANS:
Step 3 - 6
Full Name: *
Birth date: *
Gender:
Male
Female
CIN: *
Eduaction level: *
Primary school
Secondary school
High school
Health Status:
Good
Poor
Health problems
Information about the ACCOMODATION:
Step 4 - 6
Type
Property
rent
mortgage
Shared ACCOMODATION
The estimated value of the house: *
household appliances quality :
Excellent
Good
Poor
We don't have any machines
Does your house have access to electricity? :
Yes
No
What is the average monthly bill for electricity at your place? *
Is there water service at your house?
Yes
No
What is the average monthly bill for water at your place? *
Information about the EXTERNAL AIDS:
Step 5 - 6
What types of aid are available? *
What is the value or amount of this aid? *
How often do you receive assistance?:
Weekly
Monthly
Yearly
Finish:
Step 6 - 6
SUCCESS !
You Have Successfully fill in the form
