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Beneficiary Application Form

Golden Breeze Foundation - Humanitarian Aid

Applicant's Marital Status

Further Details for Application Processing:

Is Beneficiary only Bread Earner?
Do you stay in own / Rented House?
Do you own any Jewels?
I acknowledge the above given information about me is true, I also understand that trust is not responsible directly or indirectly for the transactions / service / treatment provided by the hospital / institute.
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