JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Bangalore Bihari's Corona Support \ बिहार के बैंगलोर में फसे हुए बिहारवासियो को मदद पहुचाने हेतु संपर्क प्रणाली की स्थापना ।
Bangalore Bihari's Corona Support coordinated by Praveen Kumar Pandey & volunteers
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name - नाम (e.g. Praveen Pandey)
*
Your answer
Contact No. - मोबाइल संख्या
*
Your answer
No. of Person -लोगों की संख्या
*
Your answer
Present Address - पता जहा आप फसे हुए है *
*
Your answer
Present State /District - जिला/प्रदेश जहा आप फसे हुए है *
*
Your answer
Bihar District - बिहार में कहा रहने वाले है।
*
Your answer
Service Required (e.g Food Supply)\ क्या सेवा चाहते हैं ?
*
Your answer
Email
Your answer
Comments
Your answer
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
