Empowerment Fund Application

Applicant Information

First Name *

Middle Name

Last Name *

Passport Photo

Phone Number *

ID Number

ID Copy

Marital Status

County

Address

Spouse Information

First Name

Middle Name

Last Name

Phone Number

ID Number

Family Information

Number of Children

Total Family Members

Disabled?

Children Details (Names & Ages)

Family Members Details

Financial Information

Income Source

Monthly Income (KES)

Receiving Support from Other Organizations?

Monthly Expenses (KES)

Rent

Gas

Water

Electricity

Food

Medical

Education

Loan Repayment

Other Expenses

Debt Information

Debtor Name

Debtor Phone

Amount Owed (KES)

Your Situation

Current Situation

Explain How We Can Help

Amount Requested (KES) *

How Did You Hear About Us?

Previous Applications (If any)

Referee Information

First Name

Middle Name

Last Name

Phone Number

Relationship to Applicant

Referee Document (ID Copy, Letter, etc.)

Supporting Documents

Upload Supporting Documents You can upload multiple files as a ZIP archive

Empowerment Fund

Education Fund

FAQ's

Medical Fund

Welfare Fund

Support Our Programs

Applicant Information

Spouse Information

Family Information

Financial Information

Monthly Expenses (KES)

Debt Information

Your Situation

Referee Information

Supporting Documents

Stay Updated with
everything Zakat!

Quick Links

Contact Us

Call Us

Email Us

Address

Empowerment Fund

Education Fund

FAQ's

Medical Fund

Welfare Fund

Support Our Programs

Empowerment Fund

Applicant Information

Spouse Information

Family Information

Financial Information

Monthly Expenses (KES)

Debt Information

Your Situation

Referee Information

Supporting Documents

Stay Updated with everything Zakat!

Quick Links

Contact Us

Call Us

Email Us

Address

Stay Updated with
everything Zakat!