International Christian Relief
A ministry of the World Council of Independent Christian Churches
Application to Receive Funds

Personal Name

Ministry Name

Ministry Address 1

Ministry Address 2

Ministry Address 3

Ministry Address 4


Postal Code

Contact Email

Contact Phone

Ministry Website

Name of your WCICC National Director

Did the National Director approve this request?
Yes No

Is this ministry registered or incorporated in your county?
Yes No
Is this ministry registered with the government to receive funds from foreign nations?
Yes No
Is this Ministry Tax Exempted by the government in which it is registered?
Yes No
Is this ministry a member of the WCICC?
Yes No
Does this ministry make financial contributions to the ICR or WCICC?
Yes No
Has this ministry ever received funds in the past from ICR?
Yes No
Is this ministry distinctly Christian?
Yes No



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