Disability Support Request Form – GMK Welfare Organization

Registered welfare organisation — serving persons with disabilities across Pakistan

Disability Support Request

Are you a person with a disability, or do you know someone who needs support?

Tell us about your situation. GMK Welfare Organization will review your request and, where possible, connect you with appropriate support.

A. About the Person

Full Name *

Age *

Gender *

City / District *

Phone / WhatsApp *

Email (optional)

Disability / Condition *

Since when have you had this disability? *

Education Level *

Briefly describe your situation *

Supporting Pictures / Documents

You may upload supporting pictures or documents related to your request. This could include medical documents, disability certificates, educational documents, quotations, or other relevant evidence.

Upload supporting files (optional)

Accepted formats: JPG, JPEG, PNG, WEBP, PDF, DOC, DOCX. Maximum file size: 10MB per file.

C. Campaign & Media Consent

Please select one option regarding the use of your story, photographs or videos for GMK Welfare Organization's public campaigns.

Yes, I give permission for GMK Welfare Organization to share my story publicly, including my name, photographs and/or videos that I provide.Yes, I give permission for my story, photographs and/or videos to be shared publicly, but please do not publish my full name.No, I do not give permission for my story, photographs or videos to be published publicly.

I confirm that the information I have provided is true and accurate to the best of my knowledge.

I understand that submitting this form does not guarantee that GMK Welfare Organization will be able to provide support.

GMK Welfare Organization will review your request and contact you where possible regarding appropriate support.

There is a family waiting on the next volunteer. It could be you.

The form takes under a minute. No CV, no commitment beyond a phone call.

Or WhatsApp us on +92 000 0000000

GMK Welfare Organization

Working with persons with disabilities across Pakistan — health, livelihood and access.

Site

Home
About us
Projects
Register

Programmes

Assistive devices
Health access
Skills & jobs
Access & rights

Contact

Office address line 1,
City, Pakistan
+92 000 0000000
info@gmkwelfare.org

Financial Support Details

Education Support Details

There is a family waiting on the next volunteer. It could be you.