12 Whitmore Road, B10 0NP
info@ummahwellbeing.co.uk
24/7 Emergency Care
079 3995 6113
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Foomkan Ma Adiga Ayaa Buuxsaday? Did you fill this form yourself? *
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Halkan ku qor Qofka buuxshay Magaciisa ! Please write the name of the person who filled in this form .
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Ma akhrisay xeerka Iskaashiga Umma ? (Have you read the rules?)
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Adigu miyaad dhakhtar ku jirta oo xanuusanaysaa ama miyaad guriga xanuun u jiiftaa ? Are you currently hospitalised or a patient receiving home care.
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Adigu ma degentahay UK ama maku jirtaa nadaamka UK ee benefits ??Are you a resident of the UK and/or receiving benefits i.e universal credit, child benefits etc
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Foomkan wixi khalad ah ee ka yimada ma adiga ayaa masuul ka ah? (Are you responsible for any mistakes found in the form? *
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Ma haysataa degenaashada UK ? Are you a resident of the UK
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Single £30 / Yearly
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