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Project Shifa-Registration
Launch in April 2018
Full Name *
Contact Number *
Email *
Address *
Member of any Organisation? If Yes State the Name of Organisation *
Volunteer experience in dealing with patients from nursing homes/hospices/hospitals? *
Required
If you have volunteered please briefly elaborate
Type of engagement preferred *
Required
If other types of engagement preferred please elaborate
Preferred mode of Communication with coordinators
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