Applying for



Zakkath options:

Applying for

Zakkath recipients details:

*

Which category of zakkath beneficiary does the recipient belong to:

Assesment of Aqeeda of the recipient:


Family details:



Employed

Assesment of monthly income



Total other income
Total monthly family income

Current financial aid if any

Assesments of assets

Do you own a house?


Nature of house you stay in?

Do you own a vehicle?


Assesment of monthly expenses:


Expences Value Frequency








Utlity Bill




Hospital bills:



Any one in your family with special needs:


Other expenses:


Enter the need type Value Frequency

Loan/ debt you owe:


Amount Due date: To whom you owe:(name) Number Whatsapp

Amount expected through this application

Bank Account Details


Bank account number:
Account holders name:
Ifsc code:
Branch:
Bank:
City:
State:
Country:

Two references


References 1


References 2


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