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Vulnerable Cases Registration Form (Cancer, Disabilities, Malnutrition) – Gaza City Only Icon

Vulnerable Cases Registration Form (Cancer, Disabilities, Malnutrition) – Gaza City Only

Health & Child Care Services

An online form titled “Vulnerable Cases Registration (Mustamiroun)” designed to collect personal and health data of individuals in Gaza City facing difficult humanitarian conditions, such as cancer, disabilities, and malnutrition. The form supports documentation and classification of vulnerable cases under the #Mustamiroun campaign to better organize and direct relief efforts.

Responsible Entity

Not affiliated with any known official organization
(Community initiative under the #Mustamiroun campaign)


Purpose of the Form

To enable individuals to submit an online form for documenting vulnerable humanitarian cases, supporting relief coordination and the provision of appropriate assistance. The form collects accurate personal and health details and allows uploading a medical report to support the submitted case, helping organize aid efforts effectively.


Required Information in the Registration Form

• Full name.
• ID number.
• Mobile phone number.
• Area of residence.
• Type of condition (cancer, disability, malnutrition, etc.).
• Upload a medical report (if available).


Important Notes

The form involves the collection of sensitive personal and health data; please ensure accuracy before submission.
Updates or additional guidance may be shared via a Telegram channel referenced in the form.
Submitting the form does not guarantee immediate assistance; the data is used to document cases and prioritize support based on available resources.

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