Comslib Relief Services
Community Service (LIBERIA) Incorporated
Note: a minimum annual registration fee of $50.00 that our organisation will collect for administrative purpose ONLY. This fee is not and should be considered as
for payment of services or goods directly or indirectly. Please let us know if you are unable to underwrite the cost of administrative fee so that we can deploy our
resources in order to raise it.
This form can be filled in online, send as an attachment or posted to our office.
Registration Form
Name: ______________________________________ ___________________________________ _______________________________________
Surname
First name
Middle name
Email address: _________________________________ Phone Number: ________________________Mobile Number: _______________________
Address: ______________
Street Number
______________________
Street Name
______________________
Suburb
__________ ___________________________
Postcode
State
1.
List the items needed below in the space(s) provided. 2. How soon do you need the following relief items? ____, ____________________, 201__
3.
Are you flexible with date? Yes
No
Relief Item Name
Do you have other means of getting goods/services requested for? Yes
No
Expected time
Estimated time
1.
__________________________________
_________________________________
_____________________________
2.
__________________________________
_________________________________
_____________________________
3.
_________________ _________________ _______________
_________________ _________________ _______________
_________________ _________________ _______________
4.
5.
Items
Frequencies
Terms & Conditions
School lunch
weekly
request must be lodged quarterly and submitted at least 30 days before re-opening of school for the next tern.
Text Books
Semi-Annually
request must be lodged semi-annually and submitted at least 60 days before re-opening of school for the next
School Uniforms
Annually
request must be lodged semi-annually and submitted at least 90 days before re-opening of school for the next
School Shoes
Annually
request must be lodged semi-annually and submitted at least 90 days before re-opening of school for the next
Book Bags
Annually
request must be lodged semi-annually and submitted at least 90 days before re-opening of school for the next
Home Study
twice a week
request must be lodged semi-annually and submitted at least 30 days before re-opening of school for the next
Library Study
Very forthright
request must be lodged semi-annually and submitted at least 30 days before re-opening of school for the next
Vacation Excursion
Quarterly
request must be lodged semi-annually and submitted at least 60 days before re-opening of school for the next
Sports and Recreation Monthly
request must be lodged semi-annually and submitted at least 60 days before re-opening of school for the next
Household Goods
request must be lodged semi-annually and submitted at least 30 days before re-opening of school for the next
Current
Disclaimer:
Registering for Comslib Relief Services (CRS) does not qualify you as a beneficiary for goods and services listed above. Your registration will be assessed in order
to determine need assessment and availability. Due to huge demands, one registration is eligible for five relief items within a calendar or fiscal year. All registration
must have its items label according to preference(s) from one to five numbering. Our organisation is not liable for not receiving goods and/or services in time.
Registration is done annually and must be renewed before its expiration date. Application for relief items will be given appreciate attention if falls within the
allocated time frame. Our organisation will communicated with you within five business days upon receiving your request.
1.
How did you hear about us? Please tick box (es)!
2. At this event: ___________________________________, year: 201__
2.
From a friend: _____________________________________ From our website
Other ______________________________________________
Signature: ___________________________________Date ____, _____2016 | Email: _____________________________________________________________