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COUNTRIES APPROVED FOR CHARITY—Please choose an option—CANADAUSAEUROPEMIDDLE EASTOTHERS (PLEASE SPECIFY)

ENTER COUNTRY NAME

AREAS OF SERVICE—Please choose an option—Women and men empowermentFamily’s sustainabilityChild supportPoverty alleviationAffordable medicineLegal services for women and girls abusedWomen and children education - job placementCritical health support for women and girls due to varies reasons (HIV, physicals disability, malnourishment, mental health, etc).Support to drug cartel affected women and children

APPROXIMATELY YEARS OF OPERATIONS—Please choose an option—Less than a yearLess than two yearsLess than three yearsLess than four yearsFive years and above

FUNDS RECEIVED SO FAR —Please choose an option—Less than one millionLess than two millionLess than three millionLess than four millionFive million and above

NUMBER OF DONORS’ FUNDS RECEIVED FROM—Please choose an option—one to five donors6 to 10 donors11 or more donors

LIST THE NAME OF THE TOP FIVE DONORS WITH CONTACT REFERENCES

DONOR DETAILS

FIRST DONOR

SECOND DONOR

THIRD DONOR

FOURTH DONOR

FIFTH DONOR

LOCAL REFERENCES

CERTIFICATES OF RECOGNITION (UPLOAD PICTURES AT LEAST EIGHT)