JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
CoWin Volunteer Enlistment Form
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name
*
First and last name
Your answer
Address
*
Your answer
Email
*
Your answer
Phone number
*
Your answer
Type of Volunteer
*
Telephonic
Face to face
Required
Terms and Conditions
*
1. I hereby agree to abide by the terms and conditions for working as a COWIN Volunteer in New Town. I will assist people in registration and scheduling on the COWIN portal for vaccination without charging any fees/remuneration
2. After the registration and scheduling is completed, I will remove the data provided by the beneficiary from my system and will never share that with any other agency/party and pledge to abide by all data privacy norms
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of NKDA.
Report Abuse
Forms
