Volunteer Registration Form
Be a member of the Cinemalay Family. Please fill the following questions. (All questions are mandatory to fill) | For any queries mail us at cinemalayassam@gmail.com
Cinemalay, Nagaon, Assam | www.cinemalay.com | cinemalayassam@gmail.com
Full Name *
Father/Mother/Guardian's Name *
Address(Permanent) *
Address(Current)
Date of Birth *
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DD
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YYYY
Age *
Gender *
Contact Number 1 *
Conatct Number 2
Email id *
Facebook Profile Link
Are you a student? *
School/College/Institution Name(If yes)
Occupation(If No)
Highest Education Qualification achieved? *
Language Known/Spoken *
Required
Hobbies/Field of Interest *
Do you have any previous Volunteering/Event Management experiences? (Mention if any) *
Why are you interested in becoming our Member? *
I assure that the information provided by me is true and accurate. *
Required
I agree to all the terms and conditions of Cinemalay. If I commit any serious offence/mistake, Cinemalay will have the right to suspend my membership. *
Required
If I commit any serious offence or mistake in my personal sphere/possession, Cinemalay will not be responsible for my act. *
Required
I agree to pay ₹50 as Registration Fee. *
Plase visit Cinemalay office to pay the amount or paytm at (+91) 7002045803
Required
Upload a recent photograph of yours. *
Required
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