Beneficiary application

Need medical assistance?

If you or someone you know is fighting cancer or a similar illness and needs support, share the details below. Our team will review and reach out.

Who can apply

Aid is open to any underprivileged patient. Caste, creed, religion or gender is no bar.

Diagnosed with cancer or a similar serious illness
Treatment at an approved hospital or medical centre
Genuinely unable to afford the cost of care
Willing to share basic supporting documents

What happens next

We review your application
Our team goes through the details you share.
We verify with the hospital
We coordinate with the hospital to confirm the treatment and cost.
Aid goes to the hospital
Approved aid is paid directly to the hospital, not as cash.

Keep these documents ready: medical reports, ID proof and the hospital's cost estimate. You can send them on the same WhatsApp chat after submitting.

Application form

Fill in what you know. Fields marked * are required.

Applying as

Patient Family member Friend / other

Patient name

Age

Gender

Contact mobile

Email (optional)

Address / area

Hospital / medical centre

Where treatment is happening or planned

Diagnosis / condition

Treatment required

Estimated cost

Your story (optional)

I confirm the details are true and agree to share supporting documents with Sevaa Manav for verification.

Urgent? Call or WhatsApp +91 91465 13556