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Requisition Form: Families or Groups                                  who are to be Donees or Beneficiaries

Details about the Family or Group

Note regarding Non-Disclosure: You may use a pseudonym instead of the name of the person you wish us to assist. However, we would like to know details about our Heroes - especially in case of some clarifications. We expect that information about the needy person or group will have to have some amount of public exposure in order to tell their stories and obtain funds. If you wish that their details be kept away from the public, please inform us so we can work on that aspect. Similarly,photographs bring stories to life, but we can refrain from publishing them upon your request. 

Donee's Details

Frequency of Funding Required
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