Apply for Support

If you or someone you know needs help with medical treatment, education, food or livelihood, tell us about it here. Every request is reviewed by our team and kept confidential.

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Person who needs support

Full name *

Mobile *

Email (to receive updates)

Date of birth

GenderSelectFemaleMaleOther

Occupation

Address

City / village *

State

Support needed

Type of support *SelectEducationMedicalFood & nutritionLivelihoodHousingOther

How urgent is it?NormalNormalUrgentCritical

Describe the situation and the help needed *

Estimated amount needed (₹)

Education (if applicable)

Family

Family members

Monthly family income (₹)

Applying for someone else? Your name and relation

Documents

Attach documents *ID proof, medical reports, estimates or fee receipts. Up to 5 files, 8 MB each. Only our team can see them.

I confirm the information is true and I consent to Neeyat Foundation storing these details and documents to assess this request and to contact me. Submit requestSubmit request