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Where we are?
Volunteer Information Record
Name of the Volunteer
Passport Expiry Date
VISA Issue Date
VISA Expiry Date
In case of emergency, please give immediate contact number
Specify Others skills:
Do you have working experience?
No. Of years of working
Where are you working now
Do you have previous volunteering experience?
How many times have you volunteered before
How many times have you volunteered in India before
Name of the organization where you last volunteered?
Period and duration of your volunteering
Health Related Information:
Do you have any major illness
If yes, please give details including any special medical requirements you have
Is there any PwDs in your family
Have you ever faced penal or criminal charges
If yes, give full details
Any other relevant information you would like to provide
Your Skillest And Volunteering Details
Please mention your professional skill-set, if any?
Please mention your special skills that you will share with us
What is the proposed duration of your volunteering?
Probable start date of your volunteering
Give your choices of volunteering area (tick-mark relevant option(s))
Residential care and cure service
Special education of a child with disabilities
Community Based Rehabilitation
Medicine and Nursing (Health Services)
If I am selected as a volunteer, I agree to abide by the following rules and regulations of Asha Bhavan Centre.
I understand that I will be given basic and decent accommodation within the premises and I will not move out of the premises without permission of Asha Bhavan Management
I will not consume liquor or drugs within the premises
I will ensure smooth, friendly and genial relationship with all staff and residents in ABC campus, community and all in general and will not cause any harm to the persons or property of Asha Bhavan
I will wear culturally appropriate dress. I will not engage in such actions that are detrimental to the image and respect of Asha Bhavan
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Signature (Image size less than 2MB)