Secure Registration

Widow/Widower Registration Form

Uasin Gishu County Government

Register to access comprehensive support services including legal aid, economic empowerment, and social assistance programs designed specifically for widows in our community.

Personal Information

Full Name *

Phone Number *

Year of Birth *

Gender *

Year You Became Widowed *

Employment Status *

Legal Matters

Do you have any legal issues?

Yes No

Group Membership

Are you in a group?

Yes No

Location Details

Nationality *

Religion *

Constituency *

Ward *

Village

All information provided will be kept confidential