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Volunteer Registration Form
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* Indicates required question
Email
*
Your email
Name
*
Your answer
Contact No.
*
Your answer
Location (District, State)
*
Your answer
Home State
*
Your answer
Which Zone are you working in presently?
*
North (UP, Uttarakhand, Haryana, Punjab, Himachal, J&K, Ladakh)
North East (Assam, Meghalaya, Manipur, Mizoram, Nagaland, Tripura, Sikkim)
East (West Bengal, Odisha, Jharkhand, Bihar, Chattisgarh)
South (Kerala, Tamil Nadu, Karnataka, Telangana, Andhra Pradesh)
West (Rajasthan, Gujarat, Maharashtra, Goa, Madhya Pradesh)
Language (Read/Write)
*
English
Hindi
Other:
Required
Language (Spoken)
*
English
Hindi
Other:
Required
What kind of work are you interested in engaging with?
Coordination of on-ground resources
Needs Assessment
Data Verification
Awareness assessment
Other:
How many hours in a week can you dedicate to this work?
*
Under 10 hours
10-20 hours
More than 20 hours
Are you willing to travel for this work? (Assuming proper protective equipment and permissions are procured for you)
*
Yes
No
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