Beneficiary Registration

Please fill out this form accurately to apply for humanitarian aid

تسجيل المستفيدين - يرجى ملء النموذج بدقة للحصول على المساعدة

Head of Household Information

Full Name *

ID Number *

Phone Number *

Family Size *

Current Location

Governorate *

Current Shelter/Address *

Needs Assessment

Please select all types of assistance needed:

Food Aid (Parcels & Essential Supplies) Medical Assistance (Medicine & Treatment) Shelter / Bedding / Winter Items Baby Milk / Diapers / Children's Needs Clean Water

Additional Information (Optional)

I certify that the information provided is true and correct. I consent to Gaza 48 Relief Team processing this data for humanitarian aid purposes. I understand that false information may result in denial of assistance.

Note: This is a demonstration website. For actual aid registration, please contact Gaza 48 directly via phone (+970 593 095 899) or visit the official website at gaza48.com