Housing and Shelter Support Offered by HRH PRINCESS BELLE RACHEL FOUNDATION To support individuals and communities in rebuilding sustainable livelihoods and strengthening economic resilience after crises or disruptions. Application Form Gender *First Name *Last Name *Date of Birth Marital Status *SingleMarriedWidowedDivorcedPhone number (including country code) National ID / Passport Number Email Address *Country of Residence Preferred Method of Contact *PhoneEmailMailNumber of People in Household (List Names, Ages, and Relationship) Number of Children (under 18) Number of Elderly (60+) Number of Persons with Disabilities Head of Household (if different from applicant) Source(s) of Income Total Monthly Household Income Do you have any existing livelihood or business? *YesNoIf yes, what type of business/livelihood? *Agriculture / FarmingLivestock / PoultryFishingSmall Retail / Sari-sari StoreFood Processing / CookingHandicraftsServices (e.g., tailoring, repair, salon)If yes, please explain briefly Describe how your livelihood was affected by the crisis/disaster Others (please specify) *Start-up CapitalLivelihood Kits / EquipmentSkills TrainingBusiness MentorshipMarket Linkage / PromotionProposed Livelihood Project / Business Idea Estimated Budget Needed Location of Project Expected Number of Beneficiaries (including family) Have you received assistance from other organizations in the past 6 months? YesNoTimeline for Implementation If yes, specify organization and type of support If yes, please list Do you have any supporting documents to verify your situation?(e.g., barangay certificate, referral letter, income statement, etc.) YesNoHow, where, or from whom did you hear about our foundation? *Photos or other documentation of affected livelihood Drop your file here or click here to upload You can upload up to 1 files. Proof of Income / Loss of Income (if applicable) Drop your file here or click here to upload You can upload up to 1 files. Proof of residency (e.g., utility bill, lease) Drop your file here or click here to upload You can upload up to 1 files. Business Permit / Registration (if existing business) Drop your file here or click here to upload You can upload up to 1 files. Identification document (ID card, passport, etc.) Drop your file here or click here to upload You can upload up to 1 files. Date Applicant’s Signature (Full name) Declaration *I hereby declare that the information provided above is accurate and complete. I understand that providing false or misleading information may result in disqualification. I give permission to HRH Princess Belle Rachel Foundation to collect and store the submitted data and to verify the information provided. I consent to the processing of my personal data for application and coordination purposes. I agree to abide by the HRH Princess Belle Rachel Foundation’s policies, values, and code of conduct.PhoneSubmit