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Pathankot Covid -19 Volunteer Sign up
Please fill the form for anyone who wants to volunteer in helping reach the needy in Pathankot Distrct -District Administration Pathankot
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Email
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Your email
Name
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Your answer
Father's Name
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Your answer
Address
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Your answer
Mobile No
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Your answer
No of volunteers
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Your answer
Type of service offered ?
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Work in community
Work for home delivery
Office assistance
Computer operator/assistant
Medical assistance
Required
If medical assistance offered,select type of assistance
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Doctor
Nurse
Pharmacist
Lab Technician
OT assistant
Other
Can you supply cooked food? If yes,then how many people daily ?
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Your answer
Can you offer vehicles/ambulance/mini-truck/truck/passangers vehicle ? If yes, please mention Vehicle No. and Type of vehicle
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Your answer
What time are you available to volunteer?
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Your answer
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