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Registration Form
If you want to become a volunteer to help the persons with disability so fill up the form for registration .
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* Indicates required question
Full Name
*
Your answer
Gander
*
Male
Female
Email
*
Your answer
Contact Number
*
Your answer
Whatsapp (Number)
*
Your answer
Permanent Address
*
Your answer
Current Address
*
Your answer
Are you persons with disability
*
Yes
No
Type of disability
Your answer
Percentage of disability
Your answer
In which area you would like to become a volunteer?
*
Teaching & Training
Scribe for Examination
Reader & Reader
Content Writing & Recording
Fund Raising
Other:
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