Family Assistance Fund – Sabie Stereo

How can we assist you?
Apply Here

ID Number *
Name *
Surname *
Date of Birth *
Age *
Phone *
Email *
Address *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Ethnicity
Gender *
What is your current employment status? *
What is your current housing status? *
What benefits do you currently receive? *
How many adults live in your house? *
How many children live in your house? *
How many children under the age of 18 live with you? *
How has COVID-19 affected you?
Legal and Preference: Keeping in touch - Please let us know how you would like to hear from us: *
Please select categories that apply to you *
Purpose of the Support Needed *
Have you previously received or applied for assistance from`other agencies? *
YesNo
Please confirm that we can contact you *
Yes, I confirm
I confirm that the information I have supplied is true and correct to the best of my knowledge. *
I understand that any false or undisclosed information could result in the closure of my application for assistance.Yes, I confirm
Consent Agreement *
I consent to my data being collected and stored and shared with relevant authoritiesYesNo
File Upload *Please upload the following documents : (1) Copy of ID document / (2) Provide proof of address / (3) 3 Months Bank statements