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(+1) 253 556-7777
example@support.com
Narbethong Queensland 4725 Australia
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Economic Empowerment Form (Widows & Orphans)
Economic Empowerment Form (Widows & Orphans)
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Full Name
*
leader why any
Email
*
Phone Number
*
Age
*
Residential Address
*
Are you a:
*
Widow
Orphan
Number of Dependents
*
Type of Support Requested:
*
Monthly Stipend (Widows & Orphans)
Small Business Grant
Describe your current situation and why you need assistance
*
If applying for a business grant, describe your business or idea
*
Upload proof of widow/orphan status (if available)
Click or drag a file to this area to upload.
Attach any support letter from community or church leader
Click or drag a file to this area to upload.
Bank Account Details
How did you hear about us?
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