Apply for Zakat/Sadaqah

Basic Information

You may remain anonymous — only your city and situation category will be visible to donors.

Full name (or initials)

Country

City / Region

Email (for notifications, optional)

🔒 Your email is used only to notify you about your application status. It passes through our form-delivery provider (Web3Forms) to reach us — we never sell it or pass it to anyone else.

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AI pre-score (updates as you fill)

Family Situation

Help us understand your household composition and financial position.

Household members (including you)

Children under 18

Are you the primary breadwinner / provider?

Yes No Sole breadwinner

Monthly income (approximate, USD)

Monthly essential expenses (rent, food, medicine)

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AI pre-score

Your Situation

Select all that apply to your current situation.

How long in this situation?

Brief description (optional, max 500 chars)

Please do not include medical diagnoses, documents, ID numbers, or other people's personal details here. A short description of your situation is enough — a local representative will verify the details in person.

Needs & Verification

What kind of support do you need most? Local verification increases your chance of approval.

What do you need most? (select all that apply)

Monthly food / groceries Medical treatment / medicine Rent / shelter Children's education Debt repayment Livelihood / business startup Emergency one-time support

Do you have a local mosque or imam who knows your situation?

Yes No

Do you give permission for AM Network to contact a local representative for verification?

Yes — I consent to local verification No — prefer digital verification only

Privacy & Submit

Almost done. Review your privacy preferences and submit your application.

Privacy level

Fully anonymous

Only city and category visible to donors

Show first name and city

Helps donors connect personally

Pre-launch: this form registers your interest in future assistance. Review dates and funding are not guaranteed.

I confirm that the information I provided is truthful to the best of my knowledge. I understand that false information will disqualify my application. I agree that AM Network may process the information in this form to assess my application, and that it is delivered through our form provider (Web3Forms) and stored for up to 24 months. I can ask for it to be deleted at any time by writing to contact@amnetwork.io with my reference number. See the Privacy Policy.

Your application is transmitted securely via Web3Forms and delivered to the AM Network team by email. We never sell your data and share it only with local verifiers with your consent. You may request deletion at any time: contact@amnetwork.io

Apply for Zakat & Sadaqah

BaarakAllahu feek

What happens next