May 13, 2024 5 Dhū al-Qa'da 1445 Asr Iqamah 6:15 pm 2 Hours 53 Minutes
Prayer	Begins	Iqamah
Fajr	3:22 am	3:22 am
Sunrise	4:10 am
Zuhr	1:00 pm	1:00 pm
Asr	6:16 pm	6:15 pm
Maghrib	8:47 pm	8:47 pm
Isha	9:57 pm	9:57 pm

Application for Emergency Financial Help

For emergency financial help please complete this form. Currently we can only help with purchase of food & essentials from a superstore in Romford. We will inform you if we can assist at the soonest time. All information provided on this form will be kept confidential.

Section 1

Please write in the below 3 sections the Applicant's information:

First Name

Middle Name

Last Name

Date of Birth

Full Address

Mobile / Phone

How many dependents does the applicant have?

Aduts

Children

Pets/Animals

Section 2

How much do you need?

What is the help for?

Have you recived financial help from ECYS before?

YESNO

If Yes When?

If Yes How Much?

Have you approached anyone else for help and what was the outcome?

Provide evidence of your income:

Provide other supporting evidence (i.e.Bank Statement):

Section 3

This section is only for Ex-Prisoners:

How long was your sentence and when were you released?

Which prison were you released from?

List all charges you have been convicted for?

Please upload evidence of your custody & release:

I confirm I have provided true information to complete this form:

ApplicantRepresentation

Representative's Name and Relationship to Applicant:

6:15 pm

Application for Emergency Financial Help