AidSriLanka
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Full Name
*
Phone Number
*
District
*
Exact Location
*
GPS Pin (Optional)
Type of Need
*
(Select all that apply)
Food
Drinking Water
Medicine
Evacuation / Rescue
Clothing
Temporary Shelter
Other
Number of People Affected
*
Urgency Level
*
Low
Medium
Critical
Short Description
*
Image (Optional)
Default image will be used if no image is uploaded
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