Apply for Relief Package

Complete this simple application to request support from our community relief program. We're here to help during your time of need.

1
Personal Info
2
Family Details
3
Package Selection
4
Pickup Schedule
5
Confirmation

Personal Information

Please provide your first name.
Please provide your last name.
Please provide a valid Nigerian phone number.
We'll use this to contact you about your application.
Please provide your complete address.

Family Details

Please select your family size.
Please select your employment status.
This helps us provide appropriate support.
Please select your membership status.
This helps us understand our reach in the community.

Recommended Relief Package

Schedule Your Pickup

Please select your preferred pickup date.
Please select your preferred time slot.
Pickup Location: Details will be provided upon approval
Contact: +2349113990103

Review & Submit Application

Application Summary
You must agree to the terms to submit your application.
  • I can only apply once every 21 days
  • Applications are reviewed and approved based on availability
  • I will receive an SMS/email with pickup details if approved
  • I must present a valid QR code during pickup
  • This support is provided by the community care program
Your information is secure and will only be used for this relief program.

Need Help with Your Application?

If you have questions or need assistance completing this form, our support team is here to help.

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