Beneficiaries Application Form

Declaration:

Before proceeding with the online application form, kindly take note of the declaration as follows:-

1. I confirm that all my answers are true, correct and complete. 
2. I agree to provide the latest 3 months salary slips and EPF Statement during the interview and assessment of health issue(s).
3. I hereby acknowledge that I may not be eligible to participate in this campaign, should I fail to submit the documents required.
4. I shall accept the decision of the Foundation in relation to my eligibility to participate in this campaign.