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Self Declaration Agreement For #Transgender Surgery Grants

What’s your first name?

What’s your email address?

What’s your last name?

Alternative Email id

Code

Phone

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Country

Date Of Birth

Your Instagram Account Enter URL

Your Facebook URL ( Copy & Paste )

confirm your #transition

Male to Female

Female to Male

I Declare that all the above Personal Information is true to my knowledge and that if i am found guilty of providing false information to the organization . I shall be Banned or Denied from any grants associated with Trans Alms.

I firmly declare that I am identified as Transgender, currently Transitioning and legally authorized to conduct gender change surgeries and procedures.

I declare that all the documentation i have provided trans.alms are real and that if my documents are found malicious at any stage of the application I shall be banned from any grants what's so ever.

I declare that I applied for my surgery grants with Trans.Alms Charity Org. on their official website www.talms.org. I have read and understood the policies mentioned on their website and vow to follow them.Read Our Policies

I declare that I have read and understood the disclaimer used before the application was submitted.Read the disclaimer

I declare that I understand it is solely the keep decision of the organizations to approve or deny the application at any time with no questions asked. There will be no legal action valid on Trans Alms for or its Team as the decisions solely based on Personal Funding from the founder Mann chavan.

I declare that I understand that in case of grant denial, I shall not disrespect or dishonor the organization or its members in any form of written, verbal, social or otherwise . If I am found guilty representing such activities then there shall be legal action taken on me. That will include a penalty cost.

I declare that I understand that my doctors will be reached out in case of verification and I have no restriction on this.

I declare that i have read and agreed to the MOU - Memorundum of undertsnading emailed to me post my first video appointment.

I declare that i understand that all the email's exchanged between Trans Alms Charity Org or the team member stand as a proof for evidence under any circumstances.

I declare that i understand that inorder to built the trust between the community i am expected to provide a written testimonial or testimonal video of (5 min) for Trans Alms and that it can include my name and other social links if needed to promote the cause . Such testimonial shall hold the right of the organization and can be used in all socail platform.

I declare i understand that i am eligible to complete only one procedure at a time and that the organization will sponsor me with a grant for only that one procedure. i know i can choose to reapply for other procedure once i have successfully completed my first priority surgery. I am aware that i can apply for my next grant post 6 months from my previous grant. Considering the fact that i have not exausted using the maximum grant limit per individual orf $10,000 and meet all the HRT requirment and age criteria set for such surgery.

I declare i understand that, post the grants i have to complete my surgeries withing a time frame of 6 month from the day of grant.

I declare, I understand that, if I fail to complete the surgery within 6 months from the grant date I willbe responsible of the delays and I may not be considered for any future applications for a surgery grant.

I declare and i understand that grants that approved shall be transfered to the Bank account of the Hospital only and the PSC - post surgery care if any shall be transfered via Bank transfer to my personal Bank account . I am expected to provide both the Bank details to the organization.

I declare that if i am found rasising funds for the same surgery from other sources i shall be denied a grant and banned from any application what so ever.

i declare that i am aware that my surgery and doctors and the outcome of the surgery is completely my decision and that the organization do not have anything to do with the outcome of your surgery or the doctors. if there is any correction required during the surgery the org is not liable for another grants.

i declare that post my surgery i have to submit all my post surgery letter and documentation to the organization as proof and is mandatory to do so to complete the application file for official bookeeping of the organization.

I agree to the terms & conditions mentioned in here and i declare to keep all the colaterals and dicusssions confidential.

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