Youth Vision Society Aid Registration in Gaza

Responsible Organization

Youth Vision Society

Purpose of the Form

This form enables affected families to apply for humanitarian assistance by collecting accurate information about their living conditions and basic needs. The data helps assess eligibility and level of need, ensuring a timely and effective humanitarian response directed to the most vulnerable families.

Required Information in the Registration Form

• ID number.
• Full name (first name, father’s name, grandfather’s name, family name).
• Date of birth.
• Marital status (married, widowed, divorced, polygamous).
• Gender (male, female).
• Phone numbers (primary and alternative).
• Original governorate (North Gaza, Gaza, Middle Area, Khan Younis, Rafah).
• Current governorate.
• Current city.
• Neighborhood.
• Nearest landmark.
• Family size by age group:

0–2 years
3–5 years
6–18 years
19–59 years
60 years and above
• Number of family members with chronic diseases.
• Number of family members with disabilities.
• Breadwinner’s occupation (unemployed, laborer, employee, farmer, fisherman).
• Housing condition (poor, good, excellent, totally destroyed, partially destroyed).

After completing all required fields, applicants should click Submit Data to confirm registration.

Contact Information

Phone:
+972-8-2857479
+972-599-754326

Email:
info@yvs.ps

Address:
Palestine – Gaza – Al-Nasr Street

Important Notes

Please ensure that all information entered is accurate, particularly ID numbers and personal details.
Review all fields carefully before submission to ensure no required information is missing, which helps avoid delays or the need for corrections.
The information provided will be used to assess actual needs and ensure assistance reaches the most affected families

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