DATA ON THE APPLICANT’S FAMILY

Father Mother
Surname Hamzeh Level of education Surname Al Halabi Level of education
Name Wael Primary o Secondary o Name Najwa Primary o Secondary o
Year of birth 1968 University o Other o Year of birth 1978 University o Other o
Medical condition Specify Business LAU Medical condition Specify nursing makassed
Good o Problem o Professional situation Good o Problem o Professional situation
Specify Business Specify freelance education NGO
Profession Profession
Export Account Manager Teacher
Position held Postion held
Deceased o Deceased o
Year of death Address of work Year of death Address of work
Beesline International S.A.L. Terre des Hommes- Keyfoun
Cause of death Cause of death
Bchamoun - Industrial Area, DOTS Bldg

Civil status 961-76 845 912 Civil status 03-749520

Phone Phone
Married o Widowed o Separated o Divorcedo Monthly income (LBP) (USD) 2,253 Married o Widowed o Separated o Monthly income (LBP) Do not participate in family budget
Remarried o Divorced o Remarried o

SITUATION OF OTHER FAMILY MEMBERS

In professional activity During studies
Family Name of the school
Name Year of Civil Medical Live under the same roof Level of Profession Monthly Monthly Class or year School fees
relations or University
birth status condition yes no (specify) education income contribution establishment of studies amount
hip
No Sisters, No Brothers
 DEPENDENTS FINANCIAL SITUATION OF THE FAMILY
Name Family Year of Civil Medical Level of Amount (USD)
Income per year Amount (LL)
and surname relationship birth status condition education 27036 0
Bahij Hamzeh Grandfather 1937 Married Tension (Father only)
Income of parents

Contributions by other active members (specify)

Houda Hamzeh Grandmother 1945 Married Tension
Income from your properties (specify)

Other income (specify)

School and/or university aid (specify)

FAMILY PROPERTIES 27,036
0
Total income
Automobiles No o Yes o Brand and year of purchase
Hyundai Accent 2019 Expenses per year Amount (LL)

Housing Fees of parents 4,200

Apartments No o Yes o Region and surface area of students

House maintenance 1,200
Other (specify)
Total 5,400
Total
Lands No o Yes o Region and surface area
840 State 11,200,000
Miscellaneous Water Citerne
900 State 32,000,000
Electricity moteur
Buildings No o Yes o Region and number of floors 32,000,000
Phone (fixed and mobile), internet 1,200
Clothing, car expenses 3,100
Other (specify)
Total
6,040 Total 75,200,000
Other No o Yes o Specify
Health care fees Private insurance

Non refundable medical care

Doctor visits +lab+medicine 2,435
(specify)
Total 2,435
DEBTS OF THE FAMILY Total

Nature Amount School and/or university fees (student included) 6,600 158,400,000

Subsistence fees 6,000

Nature Amount
Settlement of debts
Nature Amount Transportation 625 27,000,000
Other expenses (specify)
(LBP) 260,600,000
Total of debts Total expenses (USD) 27,100
Total expenses

(Mother doesn't contribute to family support, therefore no income documents from her are needed)