Zo Inspiration Foundation

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We are here to support those facing hardship. Reach out and let us help you rebuild.

Tu tana Dil nge i nih *

Self (Mahni tana dil) ✓

Others (Midang dil sak) ✓

Applicant Details (Dilsaktu)

Applicant Name *

Applicant Contact No. *

Applicant Relationship *

Personal Details (I dilsakte Chungchang)

Personal Details

Full Name (As on Adhaar Card) *

Gender

Date of Birth (DOB)

Aadhaar No.

Religion

Denomination/ Kohhran

Person with Disability

Yes ✓

No ✓

Contact Information:

Primary Contact Number *

Secondary Contact Number

YMA/ VC Contact Number

E-mail Address

Permanent Address *

Temporary Address

Family information:

Father's Name

Mother's Name

Marital Status

Number of Siblings (If any)

Spouse's Name (If applicable)

Children (If any)

Health Condition:

( Hei hi taksa hrisel lohna avang emaw natna avanga tanpuina lo dil tute tan bik a ni. )

Health Problem

Health Condition

Doctor's Name & Contact Information (If applicable)

Name of Hospital

Education Qualification:

Qualification

Employment Status

Current School/ College (For students)

Socio-Economic Information:

Household Annual Income

Type of House

Accomodation Type

Monthly Rent (In luah man/ Mi in man chawia luah te tan)

Community Involvement:

Membership in Local Organisation

(Kohhran leh khawtlanga nihna emaw chanvo nei te tan)

Comments

Passport Photo

Patient Photo

Adhaar Card Photos

(Adhaar Card thlalak a hnung leh hma dah tur a ni.)

Home Photos

(In chhung leh Pawnlam lan dan dah tur a ni.)

✓ By Submitting this form, I Confirm that the information provided is accurate and truthfull to the best of my knowledge. I further acknowledge that I accept the Zo Inspiration Foundation's Privacy Policy and Terms and Conditions.*

Note: Every action, big or small, contributes to a brighter future.

About Organisation

Founded in Mizoram on June 7, 2020, Zo Inspiration Foundation is a non-profit making a tangible difference in the local community. Through the kindness of local donors, we deliver essential cash, groceries, and vital medical support to families and individuals.

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Your time and skills can make a real difference. Join us in helping communities thrive.

Download Brochure

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