MAILBOX TRUST – Needy Collection Form

Submit a Request

Select the request type (Student / Woman / Other) and fill the relevant details. Fields marked * are required.

Important: Submitting this form does not guarantee financial support. It helps us assess, verify, and prioritise genuine needs.

Request Type *

Full Name *

Mobile Number *

Parent / Guardian Name *

Parent / Guardian Mobile *

Age *

Gender

District *

State *

Current Address *

Permanent Address *

Estimated Amount (₹)

Pincode

Describe the Need Clearly *

Consent *

We may contact you for verification. Your details are used only for assessment and NGO support processes.

After submit, your request will be recorded in our Google Sheet.