Jeevan Initiative Volunteership Joining Form
I AM INTERESTED TO JOIN JEEVAN INITIATIVE
Full Name *
Your answer
Date of Birth (real) *
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Phone no. *
Your answer
Email *
Your answer
Facebook profile ID (if not available, write NA) *
Your answer
Institute with last degree/ course OR present course & class *
Your answer
Any extra course completed/ doing (if any)
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Organisation with post (if employed) (if not, write NA) *
Your answer
Party/ Union/ Club(s) etc. (if member) (if not, write NA) *
Your answer
Interests/ hobbies *
Your answer
Dreams I want to achieve in my lifetime
Your answer
Present address (complete) *
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Permanent address *
Your answer
How did I first know about Jeevan *
Your answer
Why do I want to join Jeevan (one sentence) *
Your answer
Name of a Jeevan volunteer I know (if any)
Your answer
I agree to the Terms & Conditions for Volunteering with Jeevan Initiative. *
Required
[Please whatsapp your latest photograph of any size and your name to the Chief Executive at 9954192884, from the phone number you have mentioned in this form] *
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