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Grace Community Resource Network: Volunteer Registration Form
C/o. New Grace English School, Sr. No. 46, Lane No. 2, Meethanagar, Kondhwa Khurd, Pune 411048
www.gracecrn.org
COVID Helpline Email:
covidhelp@gracecrn.org
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* Indicates required question
Select Type of Voluntary Service You Can Provide
*
Ambulance Service
Any Type of Help for Senior Citizens
Coordination for Hospitalization
Funeral Services
Plasma Donation
Pickup and Drop Facility For Vaccination
Oxygen Arrangements
Other:
Required
Your Available Days And Time
*
Your answer
Your Preferred District(s)
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Nagpur
Satara
Thane
Nashik
Pune
Ahmadnagar
Mumbai
Other:
Required
Your Preferred City within the District Selected
*
Nagar
Shrirampur
Jamkhed
Malegaon
Igatpuri
Peint
Hingna
Parseoni
Bhiwapur
Mumbai Suburban
Mumbai City
Pune City
Khed
Baramati
Bhor
Daund
Karad
Phaltan
Mahabaleshwar
Wai
Kalyan
Vasai
Ambarnath
Ulhasnagar
Other:
Required
Enter Your Preferred Locations within the Selected Cities, if any
Your answer
Your First Name
*
Your answer
Your Last Name
*
Your answer
Your Age
*
Your answer
Your Phone Number
*
Your answer
Your Alternate Phone Number
Your answer
Your Address
*
Your answer
Notes
Your answer
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