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Application Information







Address And Contact








Employment Information




Additional Members of household(includes living in the house)(required)

Financial Information

Monthly Gross Income









Monthly Expenses










Assets








FINANCIAL ASSISTANCE REQUEST

Please list bills/other expenses with amounts which will be paid from Takaful funds: (reuired)

Have you or your family member received or applied to IAS Takaful or other source for financial assistance? (required)

REFERENCES (ANY INDIVIDUAL THAT IS AWARE OF YOUR SITUATION IN SASKATOON)

Name of 1st reference

Phone #

Name of 1st reference

Phone #


TERMS OF APPLICATION

Applicant accepts and testifies to the following:

1.IAS Takaful Fund Committee has permission to verify information provided by the applicant from appropriate sources.

2. Applicant has provided true and complete information to the best of his/her knowledge and may be disqualified for assistance if he/she knowingly provides false information on the application.

3.Applicant will be required to present all supporting documents, CRA filings, and/or letter of "Future Planning" upon request.

4. Applicant will not submit original bills or documents (Only photo copies please).

5. Application is accompanied by a copy of applicant's last 3 months of bank statement or CRA notice of assessment from previous year.Incomplete applications may be declined or deferred.

6.IAS Takaful Fund Committee will put forth its greatest efforts to provide the best possible assistance based on individual's circumstances. Interfering factors include Zakah regulatory constraints, limited or unavailable funds. The decision made by the Takaful Committee will be final and it will not be provided in writing.

7. The requested assistance will be in the form of Takaful cheque, food certificates, counseling, and/ or referrals to government funded programs depending upon applicant's circumstances.

8. Applicant is responsible for reporting Takaful assistance to the CRA and other government agencies.

9.The Takaful Fund Committee may take up to 15 business days for processing and approval. (may take longer)

10.This application is valid for six months only, after which applicant may reapply if hardships persist.

11.All information and documents provided will be kept in the records for as long as the IAS Takaful Fund Committee see necessary.

12.Applicant acknowledges that he/she stands before Allah (SWT) in truth and Allah (SWT) is his/her witness.

I have read and agree to the terms above

DOCUMENTS UPLOADS

Bank Statement Provided (Last 3 Months)

CRA Notice of Assessment Provided (Previous Year or if in Canada for more than 1 year)

"O you who believe! Fear Allah (SWT) and be with those who are true (in words and deeds)." (9:119)