Request Support | Fundraising | Ramasukh Foundation

A. Applicant Details

Full Name *

Date of Birth / Age *

Mobile Number *

Email Address

Address *

City *

State *

PIN Code *

Relationship to Beneficiary *

B. Beneficiary Details

Beneficiary Name *

Age *

Gender

Relationship with Applicant *

Contact Number

Current Address *

C. Type of Assistance Required

What kind of support is required? *Please describe the requirement in detail *

D. Funding Requirement

Total Amount Required (₹) *

Amount Already Available (₹)

Amount Requested Through Fundraising (₹) *

Expected Deadline

Purpose for Which Funds Will Be Used *

E. Case Details — Tell Us Your Story

Please explain what happened, why assistance is required, the current situation, how funds will be used, and whether any other organizations or individuals are already helping.

Detailed Statement *

F. Supporting Documents

Tick documents you can provide. Upload clear images where possible (JPG/PNG, max 2MB each).

Identity Proof (Optional)

JPG or PNG · auto-compressed for upload

Key Supporting Document (Optional)

JPG or PNG · auto-compressed for upload

Additional Document (Optional)

JPG or PNG · auto-compressed for upload

Documents will be reviewed only for verification and case assessment and may be subject to applicable privacy and data-protection policies.

G. Bank / Disbursement Details

Beneficiary / Authorized Recipient Name *

Bank Account Holder Name *

Bank Name *

Account Number *

IFSC Code *

UPI ID (if applicable)

Bank/payment information should belong to the beneficiary or an appropriately authorized recipient wherever possible. The Foundation may require additional verification before any disbursement.

H. Consent & Declaration

I declare that the information provided in this application is true and accurate to the best of my knowledge.I understand that Ramasukh Foundation may verify the information and documents submitted with this application.I understand that submitting this application does not guarantee approval, fundraising, or financial assistance.I authorize Ramasukh Foundation, subject to its applicable policies and consent requirements, to use relevant information about this case for verification and, if approved, for fundraising and awareness purposes.I agree to provide additional documents or information if required for verification.I understand that false, misleading, fraudulent, or deliberately incomplete information may result in rejection or cancellation of the request.

Applicant Name *

Date *

Digital Signature / Consent — I Agree

Request Support / Start a Fundraising Campaign

A. Applicant Details

B. Beneficiary Details

C. Type of Assistance Required

D. Funding Requirement

E. Case Details — Tell Us Your Story

F. Supporting Documents

G. Bank / Disbursement Details

H. Consent & Declaration