Benevolence Fund
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Join our community and provide your family information for better support
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2
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Personal Information
First Name
*
Last Name
*
Email Address
*
Phone Number
*
Date of Birth
Home Address
Street Address
City
State/Province
Postal Code
Country
Emergency Contact
Emergency Contact Full Name
*
Emergency Contact Phone
*
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Spouse/Partner Information
*
Do you have a spouse?
*
Yes, I have a spouse
None
First Name
*
Last Name
*
Date of Birth
Relationship
*
Select relationship
Spouse
Phone Number
Notes (Special circumstances, adopted, etc.)
0/500 characters
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Children Information
*
Do you have children?
*
Yes, I have children
None
Add Child
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Parents Information
*
Do you have living parents/guardians?
*
Yes, I have living parents/guardians
None
Add Parent
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Siblings Information
*
Do you have siblings?
*
Yes, I have siblings
None
Add Sibling
🎯
Beneficiaries Information
*
Do you have beneficiaries?
*
Yes, I have beneficiaries
None
💡
Note:
Choosing "None" will automatically list you as 100% beneficiary with your own name and phone contact.
✅
Auto-populated Beneficiary:
Beneficiary Name
Phone Number
Percentage
⚠️ Maximum 3 beneficiaries allowed. Percentages must sum to exactly 100%.
Add Beneficiary
Total:
0
%
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Password Setup
Password
*
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Password must be at least 10 characters with uppercase, lowercase, and special character
Confirm Password
*
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