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GLOBAL SUICIDE PREVENTION SQUAD
BECOME A LIFE SAVIOUR (JEEVAN RAKSHAK)
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FIRST NAME
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LAST NAME
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GENDER
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Choose
MALE
FEMALE
CITY
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STATE
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Country
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Phone Number
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Email Id
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PROFESSION
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STUDENT
JOB
SELF EMPLOYED/ BUSINESS
HOME MAKER
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OTHERS
EDUCATIONAL QUALIFICATION
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Below 10th Pass
10th Pass
12th Pass
Graduate
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Name of your School/College/Organization/Institution
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Have you attended our workshop?
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Not yet, But I want to organize this workshop
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