Welfare Aid Program

Application for Beneficiary Assistance

HTC FOUNDATION provides welfare assistance for underprivileged families, patients in medical need, meritorious students, and disaster victims. Fill in the details below to submit your request for committee review.

1 Applicant Personal Details

Full Name *

Father / Husband / Guardian Name

Mobile / Phone Number *

Email Address (Optional)

Gender *

Date of Birth

2 Address & Location

Residential Address (Village / Street / House No.) *

City / Town / Village *

District *

State *

PIN Code *

3 Type of Assistance & Need Details

Assistance Category *

Select the closest match for the help you are requesting.

Annual Family Income (INR ₹)

Estimated yearly household income.

Requested Aid Amount (₹)

Leave empty if requesting ration/goods.

Explain Your Situation & Why You Need Assistance *

Minimum 20 characters required. The more details you provide, the faster our field team can verify.

4 Verification Documents (Optional but recommended)

Applicant Photo

Passport size photo (JPG/PNG, max 2MB).

ID Proof (Aadhaar / Voter / Ration)

PDF or image of identity proof (max 3MB).

Supporting Paper (Medical / School / Income)

Doctor prescription, fee bill, or certificate (max 5MB).

I solemnly declare that all statements, facts, and documents submitted above are true, accurate, and genuine to the best of my knowledge. I understand that assistance is subject to verification and discretion of HTC FOUNDATION's welfare committee.

Your confidential information is securely handled and never shared publicly without explicit consent.

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