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Information Sheet of Single Mothers - 2025

This document is an information sheet for single mothers (widows or divorcees) seeking assistance from the All Ceylon YMMA Conference in 2025. It collects personal details, educational qualifications, employment status, and information regarding children, along with questions about self-employment intentions and financial needs. The form also includes a certification section for accuracy and a section for official recommendations regarding financial aid or training.

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mafakeela123
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436 views2 pages

Information Sheet of Single Mothers - 2025

This document is an information sheet for single mothers (widows or divorcees) seeking assistance from the All Ceylon YMMA Conference in 2025. It collects personal details, educational qualifications, employment status, and information regarding children, along with questions about self-employment intentions and financial needs. The form also includes a certification section for accuracy and a section for official recommendations regarding financial aid or training.

Uploaded by

mafakeela123
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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All Ceylon YMMA Conference

#63, Sri Vajiragnana Mawatha, Colombo 09


T: 011 269 4075, Fax: 011 267 6889, E-mail: [email protected]
Information Sheet of Single Mothers (Widow/Divorcee)
2025
01) Name: ………………….……………………………………………………………………………………………………………………

02) Address: ………………….…………………………………………………………………………………………………………………

03) Contact Nos.: …………………………………………………….. E-mail Address: …………………………..…………..

04) National Identity Card No.: ………………………………………………………….. Age: …………………

05) Civil Status: widow Divorcee Since: …………………..

06) Educational Qualifications: …………………………………………………………………………………………………………


……………………………………………………………………………………………………………………………………………………..

07) Vocational Training Course followed (if any): ………………….……………………………………………………………


……………………………………………………………………………………………………………………………………………………..

08) Experience/Skill in any Field of Work (if any): ………………………..…………………………………………………….


……………………………………………………………………………………………………………………………………………………..

……………………………………………………………………………………………………………………………………………………..

09) Employment Status: Employed Self Employed Unemployed

10) If Employed,
Name of Employer Location of Workplace

11) If Self Employed, Nature of Work: …………………………………………..……………………………………………………

12) Current Monthly Income: Rs. ……………………………………

13) Number of Children:...............


Married
Name Age Current Address

Unmarried
Name Age School/Institute/Employer Grade/ Course/
Designation

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14) Are you eligible to receive Zakath? Yes No

*If yes, please attach a Letter of confirmation from the area Masjid

15) Currently living with/supported by: ………………………….…………………………………………………………………

16) Area Member YMMA /Masjid: ……………………………………………………………………………………………………

17) What do you intend to do as self-employment and what is the Capital Requirement?

………………………………………………………………………………………………………………………………………………………

………………………………………………………………………………………………………………………………………………………

………………………………………………………………………………………………………………………………………………………

………………………………………………………………………………………………………………………………………………………

………………………………………………………………………………………………………………………………………………………

………………………………………………………………………………………………………………………………………………………

………………………………………………………………………………………………………………………………………………………

18) Do you have any Sales/Marketing plan for your product/service?

………………………………………………………………………………………………………………………………………………………

………………………………………………………………………………………………………………………………………………………

………………………………………………………………………………………………………………………………………………………

………………………………………………………………………………………………………………………………………………………

………………………………………………………………………………………………………………………………………………………

19) Member YMMA (Branch) in your area (if any): ………………………………….………………………………………….

I certify all information given above is true and correct

Signature: ……………………………………………………… Date: …………………….…………………

Certified by: ……………………………………………………………………………………

For Official Use only

20) Recommended for: Zakath Fithra Sadaqa

Selfemployment Training for Selfemployment

Subcommittee Chairman: ……………………………………………………………………………………


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