Request Assistance
Request Assistance
We are here to help you. Please complete the form below with accurate information. Your privacy is important to us, and the details you provide will be kept confidential.
Full Name
*
Gender
*
Male
Female
Other
DOB
*
Street Address
*
District
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State/Province
*
ZIP / Postal Code
*
Phone Number
*
Section 2: Academic Information
School/College/University Name:
*
Grade/Class:
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Major/Field of Study:
Section 3: Financial Information
Are you currently receiving any government financial assistance? (Yes/No)
*
Yes
No
Do you have any siblings studying? (Yes/No)
*
Yes
No
Section 4: Reasons for Request
Please briefly describe why you need assistance with books.
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Have you received free books or educational support from any other organization? (Yes/No)
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Yes
No
Consent and Agreement
Consent and Agreement
*
I hereby declare that the information provided is accurate to the best of my knowledge.
I understand that providing false information may result in disqualification from this program.
Please upload supporting documents, such as school ID, college id or any relevant documents.
*
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