佛 光 山 南 華 寺
Fo Guang Shan - Nan Hua Temple


For Individual
Disabled Assistance Project
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Application form from individuals completed and signed by the recipient and/or contact person;
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Copy of the applicant's/recipient's ID-book photo-page - stamped and signed OK by his doctor, clinic or social worker; or a separate letter from a doctor or clinic why the recipient needs the item/s applied for;
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Motivational letter, preferably hand-written and signed by the applicant;
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1x Passport-size photo of the recipient attached to the application, top right corner;
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1x Full-body photo of the recipient attached, black and white or colour, any size;
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BLIA terms and conditions form, signed and dated at the bottom of the page by the applicant;
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「Thank you letter to BLIA」 (preferably handwritten), on delivery of the donated items, for example:
「I/we (your or your organisation's name, surname, title, RSA ID No) would hereby like to thank the Buddha's Light International Association for the …… sponsored. I/we greatly appreciate this donation…..」
Requirements
1. ALL FORMS MUST BE CLEARLY FILLED IN AND SIGNED BY APPLICANT.
2. HOSPITAL/CLINIC FORM TO BE FILLED IN AND SIGNED BY DR/PHYSIO/NURSE AND WRITE THE PR NUMBER
3. CLEAR COPY OF ID/BIRTH CERTIFICATE OF RECIPIENT.
4. CLEAR FULL LENGTH PHOTO OF RECIPIENT.
5. SIGNED MOTIVATION LETTER EXPLAINING THE REASONS OF DISABILITY.
6. RECIPIENT PREPARE ACKNOWLEDGEMENT LETTER UPON DELIVERY OF WHEELCHAIR, CRUTCH OR WALKER.
7. Fulfil ONE of the conditions
Forms Download
BLIA21-DAP-001 Application Form from Individual.pdf
BLIA21-DAP-004 Terms, conditions and application procedure.pdf
BLIA21-DAP-005 Hospital, or Clinic Form.pdf
Contact Us
Disabled Assistance Project Coordinator
Nan-Hua Temple
27 Nan Hua Road, Erasmus. Bronkhorstspruit, Gauteng, 1020
+27-13-931-0009
info@nanhua.co.za