VOLUNTEER REGISTRATION FORM

NAME
DESIGNATION
COMPLETE RESIDENTIAL ADDRESS WITH PIN CODE
COMPLETE OFFICE ADDRESS WITH PIN CODE
MOBILE NUMBER
LANDLINE
OFFICE TEL. NO.
E-MAIL ID
MY CONTRIBUTION TOWARDS
Project Agaaz
Project Lakshay
Project Jagriti
Project Vidya
Other
Please Specify:
Terms and Conditions: http://pragyatafoundation.org/page.aspx?pageurl=terms-and-condition.html
I agree to be bound by all the terms and conditions on the website.
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