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)4.-+$)"*-(*$‫ݦ‬/$*)4#)) './#$.*0( )/ю''‫' ݦ‬.

- ()/*-4ю

*0. #*'
)!*-(/$*)*-( Serial Number Barcode

Read aloud to the recipient and collect approval

In order to enable WFP to provide its assistance, it is critical to allow it to deal with your personal data and share the necessary information
with its implementing partners and service providers.
Do you agree with that?

Yes No

( $")/0-

*0. #*'-" /$)"-$/ -$


-$*-$/4  ) ‫ݦ‬$-4/ "*-4
)*(  1 '.-$/ -$

$-./ Households with Pregnant or Lactating Women (PLW) registered in curative Households within this priority category will be targeted if they do not have
activities for MAM, or households with children under 5 years old registered .0Ȃ$$ )/ $)*(  /* Ȃ*- .$ !** ю"ю /#*.  2#*.  (*)/#'4 $)*(  + -
in curative activities for SAM or MAM. Priority will be given to households household member is less than half of the WFP food basket value per person.
with children accepted in SAM treatment centers and have complications. Some HHs may not get monthly regular income and earn seasonal income
Lists will be provided by WHO and UNICEF through WFP. e.g. from sale of land produce, or receive remittances on irregular basis, such
income needs to be averaged over 12 months to determine monthly income.

 *) Internally Displaced People (IDPs) living in public camps or shelters or It is assumed that the IDP householdswithin this priority category belong to low
random gathering places. income category of households therefore they automatically become eligible
for food assistance.

#$- IDPs living with relatives or friends. Households within this priority category will be targeted if they don’t have
.0Ȃ$$ )/ $)*(  /* Ȃ*- .$ !** ю"ю /#*.  2#*.  (*)/#'4 $)*(  + -
household member is less than half of the WFP food basket value per person.
Some HHs may not get monthly regular income and earn seasonal income
e.g. from sale of land produce, or receive remittances on irregular basis, such
*0-/# Households from socially and economically marginalized communities income needs to be averaged over 12 months to determine monthly income.
(mohamasheen).

$ȅ# Child-headed households. It is assumed that the child-headed households belong to a low-income
category of households therefore they automatically become eligible for food
assistance.

$3/# Households headed by females/widowed who live independently with Households within this priority category will be targeted if they don’t have
their children. .0Ȃ$$ )/ $)*(  /* Ȃ*- .$ !** ю"ю /#*.  2#*.  (*)/#'4 $)*(  + -
household member is less than half of the WFP food basket value per person.
Some HHs may not get monthly regular income and earn seasonal income
 1 )/# Vulnerable households headed by physically challenged persons and e.g. from sale of land produce, or receive remittances on irregular basis, such
chronically ill persons. income needs to be averaged over 12 months to determine monthly income.

$"#/# Elderly-headed households.

World Food Programme (WFP) is the largest international humanitarian organization in Yemen, normally called “Munazzamat al Ghedá”.
 - )$/ /$*).!**..$./) " )4)' $)"/# ‫"ݦ‬#/"$)./#0)" -$) ( )ю+-*1$ .$/...$./) $)'$) 2$/#/# 
WFP humanitarian principles of Humanity, Neutrality, Impartiality and Operational Independence. These principles are designed to enable
us to provide assistance to the most vulnerable and food insecure people in Yemen irrespective of their ethnicity, tribal, political and religious
Ȃ$'$/$*).ю

 # - 4*)‫ݦ‬-(/#/ ) ‫ݦ‬$-4$)!*-(/$*) /$'.- *-- /)*(+'$ 2$/#-" /$)"-$/ -$


*(($// 
Committee ( -(
Member Name *$'
Mobile 0( -
Number $")/0-
Signature

+967 +967

+967 +967

Cut along the dashed line

Serial Number Barcode


)4.-+$)"*-(*$‫ݦ‬/$*)4#)) './#$.*0( )/ю''‫' ݦ‬.- ()/*-4ю

**+ -/$)"-/) - / (DD / MM / YY)

*1 -)*-/ $./-$/ 0ѣ$./-$/ FDP $''"


FDP

*! *0. #*'


$-./(  *)( #$-( *0-/#( 0-)(

-$)$+'- $+$ )/  ) - / *!$-/#(DD / MM / YYYY) " -$/'//0.


Yes No Male Female Or Single Married Divorced Widowed

4+
0( - ' *!
..0)
National Family Passport Social Welfare

$-/# -/$‫ݦ‬/ Other


$.$'$/4 / *!
..0) (DD / MM / YYYY)
 ' +#*) 0( - No disability

+967 $‫ݦ‬0'/4. $)"я 1 )$!2 -$)""'.. .

$‫ݦ‬0'/4- ( ( -$)"*-*) )/-/$)" $‫ݦ‬0'/42$/#. '!ѣ- Ѱ "ю2.#$)"


+967 over or dressing)
$‫ݦ‬0'/4# -$)"я 1 )$!0.$)"# -$)"$
$Ȃ$0'/4*((0)$/$)"Ѱ "ю0) -./)$)"
0+/$*) $‫ݦ‬0'/42'&$)"*-'$($)"./ +. or being understood by others)

*0. #*'
($'4//0. Original Location / Governorate Original Location / District Duration Displacement
Non-IDP IDP Less than 6 months 2-3 years

6 months - 1 year 3-4 years


-" /$)"-$/ -$
1-2 years More than 4 years
1 2 3 4 5 6 7 8

($'4 ( -.Number of Males # '/ -//0.


1 2 3 4 5 6 7 8 9 10 Owned Rent Public

($'4 ( -.Number of Females Camp )‫)ݦ‬$.# 0$'$)" No Shelter

1 2 3 4 5 6 7 8 9 10 Hosted Spontaneous Settlement

'/ -)/ - $+$ )/


$-./(  *)( #$-( *0-/#( 0-)(

 ) - / *!$-/#(DD / MM / YYYY) " -$/'//0. Widowed


/ *!
..0) (DD / MM / YYYY)
Male Female Or Single Married Divorced

4+
0( - ' *!
..0)
National Family Passport Social Welfare

$-/# -/$‫ݦ‬/ Other


*0. #*'*' '/ -)/ //0.
 ' +#*) 0( - Spouse Child-in-law Uncle/Aunt  ) ‫ݦ‬$-4

+967 Child Sibling-in-law Nephew/Niece *)ѣ ) ‫ݦ‬$-4

Sibling Parent-in-law Cousin


+967
Parent Grandparent Other

Grandchild Non-Family member

Cut along the dashed line


Please keep this paper carefully. This is required during the new
 ) ‫ݦ‬$-4 1 -$‫ݦ‬/$*) +-* .. *! *-' ** -*"-(( ю #$. $.
not a ration card and holding this paper does not mean that you are
entitled for food assistance. Serial Number Barcode
For any inquiries or complaints, please contact directly WFP via the
following Toll free No. 8002020 - WHATSAPP No. 738802020, or you
can contact with the Joint Operation Room between NAMCHA and
WFP via the following toll free No. 8004545.

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