Covid Care Mitra - Bangalore

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COVID Care Mitra is a volunteer initiative to make things a little easier for those impacted by COVID-19.
We extend support to the people who are in need of help during this Covid pandemic. Our volunteers will reach out to you and help you.

Disclaimer: The user need to understand that the data collected during the registration is only used to arrange help to your respective needs by our volunteers.

Name *

Phone Number *

Whatsapp Number

Please mention it if the phone number mentioned above is not your whatsapp number

What do you need help with? *

If you suspect you are Covid postive, what are your symptoms? (Write NA is this is not applicable) *

Preferred Language *

Email Id

Address (Complete address )

Declaration *

I hereby declare all the details provided are true to my knowledge and I acknowledge they are used only for my own help during this Covid Pandemic.

Required

If you would like to join as a volunteer, please use the volunteer registration form

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