Online Zakat Application

ONLINE ZAKAT APPLICATION

PLEASE FILL FORM WITH CORRECT DETAILS ONLY

SECTION 1 (ORGANIZATION INFORMATION)

Name of Organization *

Address *

Address Line 1

City

State / Province / Region

Postal Code

Country

Date of Registration *

Legal Status *

Registration Number (If any)

Website / URL

Social Media and Handles

Proof of legal registration OR Letter from mosque / recognized community leader (for unregistered organizations) *

Drag & Drop Files, Choose Files to Upload You can upload up to 4 files.

Upload Document (s)

SECTION 2 (PRIMARY CONTACT PERSON)

Full Name *

First

Last

Position/Title *

Email *

WhatsApp Number (for video verification) *

How many years have you served in this organization? *

Social zakat from

SECTION 3 (DEAF COMMUNITY AUTHENTICITY)

How many Deaf people does your organization serve? *

How many years have you worked with the Deaf community? *

Describe your regular activities for Deaf people *

Upload Photos of activities with Deaf community and Organization logo (if available) *

Drag & Drop Files, Choose Files to Upload You can upload up to 50 files.

SECTION 4 (PREVIOUS SUPPORT FROM GDMF)

Have you received zakat from GDMF before? *

SECTION 5 (ZAKAT REQUEST SUMMARY)

Total zakat amount requested (USD) *

Local currency & amount *

Number of Deaf beneficiaries to be supported *

Average support per beneficiary *

Type of Support *

Why is this zakat urgently needed?

SECTION 6 (ZAKAT ELIGIBILITY CATEGORY)

The beneficiaries fall under the following zakat categories *

SECTION 7 (BENEFICIARY VERIFICATION)

We confirm that each beneficiary is Deaf or from a Deaf household, personally known to our organization, has been visited at home, has explained their situation in sign language, is eligible for zakat, and is not receiving zakat from another organization. *

SECTION 8 — SAMPLE BENEFICIARY EVIDENCE (FOR ANY 3 BENEFICIARIES)

Beneficiary 1 Code/Name *

Beneficiary 1 City *

Upload *Photo in front of home *Photo holding paper with today’s date *20-second sign language video

Drag & Drop Files, Choose Files to Upload You can upload up to 50 files.

Beneficiary 1

Verified by (Deaf volunteer name) *

WhatsApp Number *

Beneficiary 2 Code/Name *

Beneficiary 2 City *

Upload *Photo in front of home *Photo holding paper with today’s date *20-second sign language video

Drag & Drop Files, Choose Files to Upload You can upload up to 50 files.

Beneficiary 2

Verified by (Deaf volunteer name) *

WhatsApp Number *

Beneficiary 3 Code/Name *

Beneficiary 3 City *

Upload *Photo in front of home *Photo holding paper with today’s date *20-second sign language video

Drag & Drop Files, Choose Files to Upload You can upload up to 50 files.

Beneficiary 3

Verified by (Deaf volunteer name) *

WhatsApp Number *

SECTION 9 (LOCAL DISTRIBUTION PLAN)

How will zakat be distributed? *

Expected distribution date *

Number of volunteers involved *

SECTION 10 (FINANCIAL TRANSFER DETAILS)

Organization Name on Account *

Bank Name *

Account Number / IBAN *

SWIFT Code *

Mobile Money (if applicable)

SECTION 11 (TRANSPARENCY & ACCOUNTABILITY)

We agree to Distribute zakat only to verified eligible beneficiaries, Keep photo/video proof of distribution, Submit a post-distribution report to GDMF, Allow random video verification by GDMF, Not distribute funds to board members or immediate family, and Return any unused funds *

SECTION 12 (DECLARATION)

We confirm that the information provided is true and zakat will be distributed according to Islamic guidelines. *

Custom Captcha *

REQUIRED ATTACHMENTS CHECKLIST *Registration document / recommendation letter *Activity photos *3 beneficiary verification sets *Bank / mobile money details