Prefix

Miss

Ms

Mrs

Mr

Mx

Name *

First Name

Last Name

Immigration Status *

British citizen

Indefinite Leave to Remain

Leave to Remain

Settled EU citizen

other

Have you ever had help from us before? *

If so the application process might take less time.

Yes

No

Have you been living in Kensington for at least two years? *

Please note the Charities' area of benefit only covers the old Parish of Kensington. Not all residents of Kensington are eligible.

Yes

Your address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

How many people live in your household? *

Including yourself

1

2

3

4

5

6

7+

By submitting the form you confirm you have the following documents ready: *

Please note that we require some personal documents to prove your eligibility. We will not be able to process your application further if those are not provided when you are contacted. We might require some additional information based on your circumstances.

Your ID

Proof of residency in Kensington for two years

Your CV

Past three months of bank statements for all household accounts

Benefit letters

Utility bills

By submitting the form you grant the Charities permission to enter this information into our database and agree to be contacted by the staff members with regards to your application for support. *

I agree