Orphan / Widow Initiative

This would help gather Widow / Orphan Data for easy disbursement of help and relief items

Your Name*

Please provide us with your full name
Phone Number*

Please provide us with your phone number, in case we want to contact you
Local Government Area in Kwara State*

Please provide us with the Local Government Area you are in Kwara State
Ward in LGA*

We need you to provide your ward in the inputted Local Government of Kwara State
Name of Next of Kin*

The name of someone we can contact incase you cannot be reached, or we need to confirm some information
Since when have you become an orphan or widow*
- Less than 3 months
- Less than 6 months
- Less than a year
- Over 1 year
- Less than 5 years
- Over 5 years
How long have you become an orphan or widow
How have you been surviving since then?*
How have you been surviving being an orphan or widow?