Application for Zakat / Financial Support

Please fill out this form accurately so our team can assess your situation and provide the right support. All information is kept strictly confidential.

Personal Details

First Name *

Last Name *

Residential Address *

Phone Number *

Email Address *

Household & Employment

Marital Status *

Number of Dependents *

Your Employment Status *

Are you receiving WINZ/Govt benefits? *

Financial Declaration

Asset Ownership *

Cash, Gold, Savings, Shares, Vehicles, etc.

Living Expenses *

Rent, Food, Utilities, Medical, etc.

Reason for Application

Please describe your current situation and how we can assist you *

Include details regarding debts, urgent bills, or specific hardships.

Reference Details

Please provide details of someone who can verify your situation (e.g., community leader, social worker, or someone familiar with your circumstances).

First Name *

Last Name *

Email Address *

Mobile Number *

Relationship to Applicant *

Supporting Documents

Upload Documents *

Accepted formats: Images, PDF, Word Docs (.doc, .docx).

Declaration & Consent

I declare that all information provided in this application is true and correct to the best of my knowledge. *

I consent to the New Zealand Zakat Foundation contacting relevant parties (e.g., landlords, creditors) to verify the details provided if necessary. *

I acknowledge my Zakat eligibility and appoint NZZF as my 'wakil' (agent) to receive and distribute Zakat on my behalf to alleviate my hardship. *

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