Sangram volunteer membership form
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Fill the form completely, making the SANGRAM name demand draft. to submit to postal address sangram shaheed chowk domchanch koderma jharkhand 825418 ph- 9934520602 Email-sangram.jharkhand05@gmail.com
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Sangram volunteer membership form
- 1. Sangram Registered under section 21 of the Companies Act,1860 244/08-09 Shaheed Chowk Domchanch Koderma-825418 Jharkhand (India) Ph-06534-255994,+91 9934520602,Email- sangram.jharkhand05@gmail.com Application Form for the SANGRAM Volunteer’s Membership Name (In Block letters) :……………………….…………………………………………………………………………………….. Father’s Name :…………………………………………………………………………………………………………….. Gender:…………..............……..., Date of Birth:……….,............................. Blood Group:…………............................……… Address Proof:……………………….Mobile:……….............……..………email:…............………………………………………… Highest Qualification:……………………………………………....................……………………………………………….………… Current Employer:…………………………………………….......……………………………………………………..………………… Membership Donation……500/-…………….1000/-…………….with id .2000/-…………….5000/-………..10000/-…………..… Social Media …1.Facbook .........................................2 What’s App………………….………3 Twitter ...................…………….. 4 Skype..............................................5 Google+………………………………. Address-:Village/Colony………………………………………………………........................………………………………………….. Police Station:……………………………Post Office…………………………………………….District:……………………………… State………………………………………………Pin code: ………………...............................Country …………………………..….. Previous work or volunteer experience:……………………………………………………….......................................... ………………………………………………………………………………………………………………………………………………………… ………………………………………………………………..………………………………………………………………………………… Area of interest in social work:……………………………………………………………………………………………………………… How can you contribute for volunteer work: ……………...........………………………………………………..……………………….. Hours and days available for volunteer work:……………........…………………………………………….…………………………… Why you want to do social Work …………………………………………………………………………………………………….. References: One or More personal references with contact information: ………………………………………………………………………………………………………………………………………………………… ……………………………………………………………………………………………………………………………………….. ………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………… Declaration: Hereby I declare that the above particulars are true to the best of my knowledge & belief. Signature of applicant:…………………………………………………….… Date:……………………………