This Form will take around 30mins to complete.

Required Field

If you are a foreign National, living or working in within the UK, please provide photocopies of your passport and visa documents.

PLEASE NOTE: The Boparan Charitable Trust will only grant requests to children aged 18 and under who are resident in the UK and disadvantaged through poverty, disability or terminal illness.

In order for us to process your application, we require a breakdown of the household’s financial situation. Please fill out all the details below. Failure to do so will result in your application not being assessed.

At The Boparan Charitable Trust we produce a wide range of materials to tell people about our services and to raise money for our work. From time to time we take photographic images (moving and still) of applicants, and use case studies which can include these images and personal data (such as name and/or diagnosis where appropriate and consented to) to enhance and illustrate our media applications to make them more accessible, and inspiring for our audiences. By completing this form, you confirm that you:

  • understand that footage and photographs may be used at different times and that I will not be contacted each time and that any materials, footage and photographs may be edited or altered to be used; and
  • give us full permission to use these images and any personal information you supply to us in our media applications, which reasonably promote or advertise The Boparan Charitable Trust aims. (This may include printed publications and leaflets; adverts; our website; audio-visual and electronic materials; media work; display materials; and any other media we may use in the future.). The images will not be used for any other purpose.

The copyright and any intellectual property rights in any material which is generated as a result of photographic sessions shall be assigned and shall be the property of The Boparan Charitable Trust.


YES, I/We are willing to help with publicity by allowing use of such images, so other families can benefit too.
NO, I/We are NOT willing to help with publicity by allowing use of such images

If you wish to withdraw your consent for processing for the purposes of publicity, please contact us on


  • Fully completed application form (please scroll up to review your application, checking you have completed all required fields).
  • Written confirmation of child’s condition by a professional independent body e.g. Medical Consultant or Social Worker.
    **(Minimum requirement for wheelchair must be confirmation from a medical professional who were present at the assessment and will state this is the correct chair for the child) stating benefit to the child.
  • Independent quote.

Please continue to "Add Supporting documents", Your Application will be saved at this point. You will receive an email with details of your application number. Please be aware your application will NOT be complete until we have all required Supporting documents.

Although this application can be completed by a supporting advocate of the child, this must be signed by the parent/ legal guardian to validate information given.

All the details that I / we have provided within this application are correct and true to the best of my knowledge. I fully understand that failure to disclose the correct information will invalidate my application.