APPLY FOR RELIEF Fill your details on the form below to apply for a relief at The Omar Latiff Foundation. RM_StatsName *Surname *ID Number *Reason for assistance *Number of dependents in family *Cell Number *Email Address *Physical Address Address Line 1 * Address Line 2 City * Province * Note: It looks like JavaScript is disabled in your browser. Some elements of this form may require JavaScript to work properly. If you have trouble submitting the form, try enabling JavaScript momentarily and resubmit. JavaScript settings are usually found in Browser Settings or Browser Developer menu.
