<-- duplicate "New topic" in one day - locked & moved here by Admin --> <-- Please DO NOT post the same message as a "New topic" more than once in a day. -->     KUIN COMMUNITY RECOVERY BANK PLC

COMMUNITY RECOVERY SUPPORT APPLICATION FORM

APPLICANT INFORMATION

Full Name / Company Name:

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Contact Person (For Companies):

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Nationality:

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Phone Number:

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Alternative Phone Number:

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Email Address:

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Residential / Business Address:

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Country:

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TYPE OF APPLICANT

☐ Individual ☐ Small Business ☐ Company / Organization ☐ Community Group ☐ Other: ___________________________

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TYPE OF SUPPORT REQUESTED

☐ Asset Recovery Support ☐ Business Recovery Assistance ☐ Community Development Support ☐ Financial Guidance ☐ Emergency Recovery Assistance ☐ Property Loss Recovery ☐ SME Support Program ☐ Other: ___________________________

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DETAILS OF LOSS OR CRISIS

Nature of Crisis or Loss:

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Date of Incident:

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Estimated Value of Loss:

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Description of Lost Property / Business Impact:

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CURRENT RECOVERY STATUS

☐ No Recovery Support Received ☐ Partial Recovery Support Received ☐ Currently Seeking Assistance ☐ Other: ___________________________

Please provide additional details if necessary:

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DOCUMENTATION PROVIDED

☐ Identification Document ☐ Business Registration Certificate ☐ Proof of Ownership ☐ Financial Records ☐ Incident Report ☐ Photos / Supporting Evidence ☐ Other Documents: ________________________

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DECLARATION

I hereby declare that the information provided in this application form is true and accurate to the best of my knowledge. I understand that Kuin Community Recovery Bank PLC may review and verify the information provided for assessment purposes.

Applicant Signature:

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Date:

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OFFICIAL CONTACT INFORMATION

Kuin Community Recovery Bank PLC

📧 info@kuincommunityrecovery.com

📧 Guide Email: kuincommunityfunding@gmail.com

📞 Global Support Communication Lines: +1 346 494 3831 +1 (227) 218-8330

Supporting Recovery • Restoring Hope • Building Communities