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ESRA Welfare Fund - Financial Aid to Immigrants and War Victims
Applicant Information:
*
First name
*
Last Name
*
ID Number
*
Date of birth
*
Street and number
*
City
*
Phone
*
Gender
select
*
Marital Status
select
*
Country of Birth
How many children in the family?
*
Email
Monthly Income - Household
*
Monthly salary
*
Rent Assistance
*
Bituach Leumi
Monthly Income - Partner
*
Monthly salary
*
Rent Assistance
*
Bituach Leumi
*
Monthly rent or mortgage
Do you have any financial debt?
*
select
Amount
If assistance will be granted the payment will be made by bank transfer
Bank account details for transfer:
*
Bank name
*
Branch
*
Account Number
* Please attach a scan of a cancelled cheque or confirmation of bank account
A referral letter from a social worker or counselor is required
Name
Phone Number
Mobile Phone
Email
File Attachments
Working?
select
Working?
select
* Please fill in amounts - if none please fill in 0
* Please fill in amounts - if none please fill in 0
*
Name of account owner
Printouts of bank statement for the last 3 months are required (without the printouts, we will not be able to consider your request)
Please attach the following documents:
• personal letter
• bank statements for the last 3 months
• Additional documents supporting your request (if there are)
• scan of a cancelled cheque or confirmation of bank account
• A social report from a social worker or a referral from a consultant or physician
Year of aliya
Select
Personal Letter
Social Report
*
Cancelled cheque or confirmation of bank account
Additional Document
+ Add
*
Bank Statement
Submit
By submitting, you agree to receive materials from ESRA
(The assistance is one-time. If you received it before, please do not apply again)
The assistance is for immigrants who have been in Israel for up to 10 years
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