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PORP Benevolence Funds Application

Benevolence Unit Member

The content of this page is STRICTLY confidential. If you are not a member of the Benevolence Unit of RCCG Place of Rest Church, you are required to shut down this page immediately

Name of person(s) requesting assistance

ff

Application ID

Supporting Document(s)

Images

Documents

Applicant Address

2 JJC too

Phone

1253523245

Monthly Net Income (CAD)

$1,200.00

Sought financial assistance from other agencies?

Yes

Other Agencies

popodipo

Other Agency Approval & Reason

no

Requesting Help With

Utilities

Amount Requested (CAD)

$250.00

Additional Information

none for now. help me

I declare the information provided is complete and accurate

true

I give my consent to an authorized representative of the Place of Rest Benevolence Fund team to collect, disclose and use my personal information for the purpose of:

  • Ensuring the accuracy of the information received on the application for assistance

  • Allowing members of the Benevolence Fund Administration Team to assess how my needs may be met and to determine whether assistance can be arranged through the fund

Applicant Signature

Date Submitted

March 23, 2026

Benevolence Fund Approval / Acceptance Form

(to be completed by Benevolence Team)

You are:

Team Member Name

!!! If you are not the one named above, you MUST close this page immediately. !!!

Application Approved

Approval Success or Error goes here

If fund is approved, proceed to fill the fields in this section

Finance info sent or not

xxxxxxxxx

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