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Personal Information

Full Name *

ID Number *

Date of Birth *

Phone *

Marital Status *

Address *

District *

Family Information

Economic Status

Monthly Income (TL) *

Income Source *

Monthly Expenses (TL)

Debt Amount (TL)

Debt Reason

Living Conditions

Housing Status *

Housing Type *

Housing Condition *

Number of Rooms *

Utilities

ElektrikSuDoğalgazİnternetTelefonTelevizyon

Health Status

Health Problems

Kronik HastalıkEngellilikPsikolojik SorunMadde BağımlılığıAlkol BağımlılığıDiğer

Disabled/Chronic Disease *

Chronic Diseases

Medications You Use

Health Insurance

Orphan Child *

Help Request

Help Types *

Food AidClothing AidCash AidEducation AidHealth AidHousehold Items AidWinter AidHoliday Aid

Help Reason *

Düzenli yardım aldığınız kurum var mı?

Reference Information

Additional Information

Documents

Kimlik, gelir belgesi, sağlık raporu vb. dosyaları yükleyin.

Security Code *

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iYiLiK RENGi

iyilik, rengin olsun

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Color of Goodness is regularly audited by the Ministry of Interior of the Republic of Turkey. The last audit was conducted on 11.07.2025.