Client Care

Meshebah Community Interest Company Advocacy Support Application Form

Please fill out the following information to apply for advocacy support from Meshebah Community Interest Company. Our organization is dedicated to assisting individuals in the UK who are facing challenges related to immigration status, public funds, and cost of living issues.

Personal Information:

Prefix

First Name *

Middle Name

Last Name *

Gender *

Date of Birth(Optional)

Nationality *

Street Address *

Apartment, suite, etc *

City *

State/Province *

ZIP / Postal Code *

Country *

Phone *

Email Address *

Dependents Information (optional):

Please provide details of each dependent child under the age of 18 years.

Name of Dependent

Date of Birth

Gender

Relationship

Name of Dependent

Date of Birth

Gender

Relationship

Immigration Status:

Please circle the box that corresponds to your current immigration status:

No Recourse To Public FundsAsylum SeekerNewly Arrived MigrantCertificate of Sponsorship MigrantUndocumented Migrant

Challenges:

Select the option/s that apply to you

Checkbox *

HomelessnessI am experiencing cost of living challenges.I have issues as an asylum seeker.Health and Wellbeing IssuesVictim of Modern-Slavery or ExploitationMental Health Issues

Supporting Documents (ARC Card, BRP)

Front *

No file chosen

Back *

No file chosen

Additional Information:

Please use this space to provide any additional information or details about your situation that you believe would be helpful for us to know:

Message *0 / 500

About Us

Meshebah Community Interest Company is dedicated to advocating for Equality, Diversity and Inclusion minority ethnic communities & cultures

Funded by Leeds Community Foundation

Member of BASNET

Find Us

+44 7598618342
info@meshebahcic.co.uk
73 Wortley Heights Leeds West Yorkshire LS12 1JF United Kingdom
Company No. 14675263

Opening Hours

Mon – Wed:
09 :00am – 18:00 hours
Thurs: 0900 – 1500 hours
Friday: Closed
Sat: 10;00 – 1400 hours
Sun: Closed

Social Media

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For our privacy policy click on the link and for our T&Cs click on the link | Policies |