Volunteer Registration Form
Local Action - Global Change !
Name of the Volunteer *
Your answer
Parent / Guardian Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Blood Group *
Your answer
Course / Designation & Year *
Your answer
Department *
Your answer
Institution *
Your answer
Contact Address *
Your answer
Mobile Number *
Do Not Prefix Country Code
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Email Id *
Your answer
Volunteer Experience (If any: Please mention organization name & duration of your service)
Your answer
Area of Interest *
Required
Availability of Service *
Required
Duration of commitment *
I hereby declare that the above furnished information's are true to the best of my knowledge and belief and I wish to agree with policies, rules and regulations of the organisation. *
Required
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