Responsible Organization
SAEED Association for Human Development
Purpose of the Form
To enable patients, elderly individuals, and persons with disabilities in Gaza to submit electronic applications for humanitarian and medical assistance provided by SAEED Association. The form also aims to organize data collection and improve case assessment, ensuring timely and appropriate support for the most vulnerable cases.
Required Patient Information in the Registration Form
• Full name.
• ID number.
• Date of birth.
• Gender.
• Whether the patient has a disability.
• Marital status.
• Current residence address.
• Mobile phone number.
• Alternative mobile number.
Required Declaration Information
• Name of the declarant.
• A declaration confirming that all submitted information is accurate and complete to the best of their knowledge.
Contact Information
Website:
https://saiid.org
Email:
info@saiid.org
Phone:
+972 567 697 164
Address:
Palestine – Gaza – Khan Younis
Important Notes
Please ensure that all information provided is accurate and truthful, as it will be verified by the responsible organization.
After submitting the form, a confirmation message may be sent via phone.
Applications are reviewed, and priority is given to the most vulnerable and critical cases.
Responses may be delayed due to high application volume.
If no response is received within a reasonable time, you may contact the association to inquire about the status of your application.
