LET'S HELP GOA an Initiative by Revolutionary Goans

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

In this Pandemic and difficult times it's Our duty to get organised as a RG family and Help our Goans who are suffering because of failed governance and Corruption by The Govt.
So Here we call upon all the Revolutionaries who are willing to be part of this Initiative by RG.
Under LETS HELP GOA we want the Revolutionaries to voluntarily Participate in various activities planned by RG. We are not Forcing anyone to participate. If u feel like Being a part Of LETS HELP GOA please fill the Google form and register yourself or WhatsApp on 7038887702. After taking the registration we will form the task force teams for each activity.
Thank You
#BeSafe
#LetsRevolution
#LetsHelp

NOTE: PPE kits will be provided for the safety of the Revolutionary working in this Initiative. Also, Petrol allowance will be provided.

Name *

Mobile Number *

Address *

Age *

Constituency *

Select the drives you want to be part of under Lets Help Goa Initiative by Revolutionary Goans *

Sanitisation Drive: Public Places and COVID Recovered Homes.

Vaccine Transport: Free transport for Old Age and Needy Goans From home to Vaccination centre.

COVID Patient Hospital Transport

Oximeter and Thermometer Collection Drive:

Food at COVID Hospitals: Any Needy Person can call us and we will provide food Delivery at the Hospital.

Sanitiser Refill Stations: Help in Setting Up of Station, Volunteering at the station

Helping Hand: General help for the people in Home Isolation, Old age such as Food, Grocery, medicine Delivery and anything they ask for.

Constituency Level Helpline

Required

Select how you can help this Lets Help Goa Initiative by Revolutionary Goans *

Pick and Drop person to/from Vaccine center with 4/2 Wheeler.

Pick and Drop COVID Patient to/from Hospital

Help in Public Places Sanitisation

Help in Home Sanitisation of a COVID recovered Person

Be a Helping Hand for Home Isolated person or a needy person in your area.

Oximeter Collection Drive: help in collecting Oximeters

Food Supply at COVID Hospitals

Food At Covid Hospital: Volunteer to Serve the Cooked free Meal to The needy

Space for Sanitisation Refill Center

Volunteering at Sanitisation Refill Center

Other:

Required

Submit

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