Registration on-line

  1. Prepare a document that confirms your diagnosis - a copy with the following annotation “I hereby confirm this is a true and exact copy”, sign it and scan it. It doesn't have to be the full disease documentation, a test result that confirms a malignant tumour is sufficient.
  2. Select who will be your Authorized Representative. It is a person who will be able to take actions on your behalf, e.g. in the case of your temporary indisposition. Persons from the immediate family are usually appointed for this role, but it is not a requirement.
  3. Fill in the following registration form.
  4. After filling in the form, you will receive an e-mail message with a link to activate an account in the Piggy Bank system. Click on the link and then set a password to your account. If you don’t receive the e-mail, please check the “spam” folder.
  5. After logging into the Piggy Bank system complete your profile, add a picture, as well as a short story about you that will be visible on your dedicated webpage. In the “Questions and Answers” tab you will find instructions what to include in the story.
  6. Within a few days after filling in the form, we will be sent a second e-mail containing the registration documents: contract, application, regulations and consent to processing personal data. These documents have to be printed out, filled in, signed (also by the Authorized Representative) and sent back to the Foundation by traditional mail (post).
  7. After the Alivia Foundation receives your signed documents and approves the picture and the story for the webpage, your account will be fully activated. From that moment it will be possible to raise funds in the Piggy Bank Programme.

Step 1/4 - Fill in Beneficiary’s data

Beneficiary’s personal data

Beneficiary’s contact details

Beneficiary’s address details

Beneficiary’s financial details

Choose the currency of your Piggy Bank account

Step 2/4 - Fill in Representative’s data

Representative’s personal data

Representative’s contact details

Representative’s address details

Step 3/4 - Provide disease details

Disease details

Step 4/4 - Read the regulations and give consent as required

Statement on reading the Regulations of the Piggy Bank Programme

I hereby state that I have read and understood the provisions of the Regulations of giving social assistance benefits under the Piggy Bank Programme.

In particular, I am fully aware that:

CONSENT (Beneficiary)

Please refer to our Privacy Policy for full details of how we may use and share the information that you provide.

Please note that we may share any information you provide with government agencies, credit reference agencies, for fraud prevention, to pursue debtors or where we are required to do so by law.

We would also like to send you information about any other products or services that we provide and about any other projects that we are involved with. If you agree to us contacting you in respect of these, please tick the relevant boxes below

If you require any further information please refer to our Privacy Policy or contact us by e-mail at info@alivia.org.uk or by post at Alivia Foundation UK, 3rd Floor, 207 Regent Street, London, W1B 3HH.

In order to carry out our functions under our contract with you we will require copies of your medical records, bank details and other sensitive information.

Some of the information that we will obtain from you will be disclosed to third parties so that we may carry out fund raising activities, promote the Piggy Bank Programme and seek donations for you or for the Programme generally.

This will include disclosing the information on our publicly available website, publishing it in brochures and other marketing materials, arranging for publications in mass media, and disclosing this information to the wider public and as such any third party. All of this disclosure will be done for purposes of promoting the Programme, carrying out fund raising activities and securing donations for you and the Programme.

The data that will be processed in this matter shall consist of:

(1) Your name;
(2) Your age;
(3) Your gender;
(4) Your nationality;
(5) Your country of residence;
(6) Details of any medical conditions that you have;
(7) Your photographs and any other media that you have provided.

Please confirm that you agree to this disclosure being made by Alivia Foundation UK of Ground Floor, 1/7 Station Road, Crawley, West Sussex, United Kingdom RH10 1HT by ticking the box below:

Due to the nature of our contract, if you do not agree we will not be able to conduct any fundraising activities on your behalf.

You have the right to withdraw this consent at any time by however this may result in a termination of your contract with us.

CONSENT (Representative)

Please refer to our Privacy Policy for full details of how we may use and share the information that you provide.

Please note that we may share any information you provide with government agencies, credit reference agencies, for fraud prevention, to pursue debtors or where we are required to do so by law.

We would also like to send you information about any other products or services that we provide and about any other projects that we are involved with. If you agree to us contacting you in respect of these, please tick the relevant boxes below:

If you require any further information please refer to our Privacy Policy or contact us at by info@alivia.org.uk or by post at Alivia Foundation UK, 3rd Floor, 207 Regent Street, London, W1B 3HH.