Application Form & Instructions
Application Form & Instructions
Welcome to the application process for Afya Yangu Foundation. This page provides clear instructions on how to apply for ESP (End Shame Program) and Mapinga Sober House recovery and rehabilitation services.
All information provided is treated with the utmost confidentiality and respect. Our team is committed to supporting you through every step of the application process.
Download Application Form
Download the official application form in PDF format
File Format: PDF Document
File Size: Approximately 250 KB
Important: Please ensure you download and print the form before filling it out. The form must be completed in full with accurate information and signed where required. Incomplete forms may delay the processing of your application.
How to Complete the Form
Download the Form
Click the download button above to obtain the official application form in PDF format. Save it to your device for easy access.
Fill in All Required Sections
Complete all sections of the form clearly and legibly. Use black or blue ink if filling by hand. Ensure all personal information, contact details, and required documentation are provided.
Ensure Information is Accurate
Review all information before submission to ensure accuracy. Incorrect or incomplete information may delay the processing of your application.
Sign the Form Where Required
Sign the form in all designated areas. Your signature confirms that the information provided is accurate and that you understand the terms and conditions.
Payment Instructions
Payment must be completed before or during the submission of your application form. Please ensure you have made the required payment and obtained proof of payment before uploading your application.
Bank Account Details
Bank: NMB BANK
Account Number: 25610001988
Account Name: AFYA YANGU FOUNDATION – MAPINGA
Payment Proof: Acceptable formats include scanned copies or clear photographs of bank deposit slips, mobile money receipts, or bank transfer confirmations. Ensure the payment proof clearly shows the account number, amount, and transaction date.
Return / Submit Form
Once you have completed the application form and made the required payment, you can submit your application using one of the following methods:
Online Submission
Upload your completed form and payment proof using the secure upload system below. This is the fastest and most convenient method.
Physical Submission
You may also submit your completed form in person at our facility located in Mapinga, Bagamoyo – Tanzania. Please contact us to arrange a suitable time.
Application Form
- Download and fill the registration form above
- Complete this simple form with your name, email, and uploads
- Your account will be created automatically
- After approval, you can add more details to your profile
Important Notes
- Incomplete forms may delay processing: Ensure all sections are filled out completely and accurately before submission.
- Payment proof is required: Your application must include clear proof of payment. Applications without payment proof will not be processed.
- Confidentiality guaranteed: All submitted information is treated with strict confidentiality and used solely for application processing purposes.
- Review and contact: After we review your application, our team will contact you using the contact information provided in your form.
Need Help or Support?
If you have any questions about the application process, need assistance completing the form, or require clarification on any requirements, our support team is here to help.