Help to Orphans Form – Красный Полумесяц Казахстана

First and last name of the child *

IIN of the child

Health status of the child: (if the child is sick or disabled, it is necessary to register a certificate of his condition and write a diagnosis) *

Number of children in the family: (number of boys and girls in the family: brothers and sisters, full names and age of the child) *

Who is the Guardian? First and last name (for example: mother, brother, grandmother, etc.it is necessary to write that The Guardian is a relative from the father or senior side) *

Cause and date of death of the father: (or cause of death of the parents, for example: accident, health problems, etc.)) *

Address of the actual place of residence: *

Registered address: *

Housing: (house / apartment / rental housing (you must specify the rental amount) *

Who owns the shelter: *

Hobbies and interests of the child: *

Does the child read? (name of the school, class, address) *

Does the child go to kindergarten? (name, address of the kindergarten) *

The amount of income of other cohabiting family members *

Does the child's mother (guardian) work? (place of work and salary amount) *

State benefits received: (types, amount, how many people receive) *

Contact details (mobile / home Tel.): (it is necessary to specify the contact details of the Guardian, close relatives or acquaintances of the family and write down the owner of the number) *

Email address (e-mail) or social media account: *

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the Agreement on the use of Personal Data