FGK - Noodfonds

I understand and agree to the terms and conditions of this fund as published on www.fgk.co.za/noodfonds
Agree
Do not agree

Name of Applicant

Surname of Applicant

Primary Phone Number

Secondary Phone Number

Email Address

Address

Address line 2

Area

City

Code

Marital Status
Married
Single
Divorced / Separated

Please describe your immediate family, names & ages of children, spouse name, etc.

ID Number:

Do you have a physical disability?
Yes
No

If you have a disability, please give a brief description.

Are you a previously disadvantaged resident of South Africa?
Yes
No

Please provide full and accurate bank details, including: Name of Acc Holder, Bank, Branch Code, Type of Acc, Acc Number:

Please provide name of FGK congregation member you know and who endorses this request:

First & Last Name

Please provide contact number of FGK congregation member you know and who endorses this request:

How long have you known this FGK member? Have you been to each other's homes?

What exactly are you requesting with this application? Please be specific about amount or item.

Do you require once-off or regular assistance?
Once-off
Regular

If not 'once-off', for what period? (State duration).

Have you previously received assistance from FGK? Please specify.

What would you say are the reasons for you being in the situation you find yourself in?

How do you think you will get back in a stronger position of sustainability/self-sufficiency?

You are applying at a church. How would you describe your relationship with God? Feel free to be totally honest.

What's your experience of church like?

Do you have any prayer requests? (Please list them here).

Mention five things you are good at:

Baptism signup