Individual Grant - Dabbagh Welfare Trust

Applicant's Details

Name*

Name of the Beneficiary

Address*

Address of the Beneficiary

Telephone*

Including Country/Area Code

Email*

Email Address of the Beneficiary

Age*

Age of the Beneficiary

Gender*

Male
Female

Marital Status*

Amount and Source of Household Income*

Do you have any savings equal to nisab or more?*

How much?

Number of dependent children or other house hold members*

Referee's Details

Name*

Name of the Person Giving Reference to the Beneficiary

Address*

Address of the Person Giving Reference to the Beneficiary

Telephone*

Including Country/Area Code

Email*

Email Address of the Person Giving Reference to the Beneficiary

Referee's relation with Dabbagh Welfare Trust*

Referee's relation with you (the applicant)*

Purpose of Grant*

Please provide as much detail as possible of what support you need. Please attach all evidence, e.g. medical export, marriage expenses, quotation for equipment purchase, or any other document that supports the need of the funds applied for.

Additional Information

Please provide any additional information which might help your application. (Please explain how you consider your application meets the objectives of Dabbagh Welfare Trust)

Feedback about the Grant

(Please explain what feedback or documentary evidence you will provide to confirm that the grant was spent in the manner stated in this application.)

When will the feedback or documentary evidence will be provided?

Amount Requesting

In Local Currency*

Please write the name of your local currency & the amount

In GPB (£)*

Please convert your local currency amount into British Pounds (£)

Cost Breakdown*

(Please provide the breakdown of expenses that will be utilised by the grant In as much detail as possible as this wit speed up the application process.

Have you tried obtaining assistance from elsewhere?*

Yes
No

Have you previously made any application to Dabbagh Welfare Trust?*

Yes
No

Because you've selected "Yes". please give either the reference number of the previous grant, or supply details listed below

What was the application for?

Was the application successful?

What amount was granted?

Declaration

I/We hereby declare that the details furnished above are hue and correct to the best of my/our knowledge and belief and I/We undertake to inform you of any changes therein, immediately. In case any of the above Information Is found to be false or untrue or misleading or misrepresenting, I am/we are aware that I am/we may be held liable for it. I/we do not promote or engage in any terrorism or political activities and understand that if Dabbagh Welfare Trust discovers that I/ we promote or engage in any terrorist or political activities, they will immediately inform both local authorities in my home country as well as in the UK. For grant/donation received up to the value of £1000: Wye promise to send an acknowledgement tone for the amount of grant received as well as relevant documents as copulated in the application. For grant I donation received above the value of £1000: I/We promise to send en acknowledgement form for the amount of grant received as well as a progress report, feedback, accounts and any relevant document/ information to Dabbagh Welfare Trust. I/We understand that representatives of Dabbagh Welfare Trust can and will inspect necessary without any notice.

Sign

Print Name*

Date*

Individual Grant Application Form

Applicant's Details

Referee's Details

Amount Requesting

Declaration

Dabbagh Welfare Trust

Registered Office

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