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Voice of Patient

VOLUNTEER REGISTRATION

PERSONAL INFORMATION
VOLUNTEER NAME *
FATHER NAME
DATE OF BIRTH
EDUCATIONAL QUALIFICATION
MOBILE NO. *
ALTERNATE MOBILE NO.
EMAIL ID *
 
ADDRESS *
STATE *
CITY *
AREA *
PIN CODE *
ID PROOF *
UPLOAD ID PROOF * Select file in .Jpg/.Png Format
UPLOAD PASSPORT SIZE PHOTO * Select file in .Jpg/.Png Format
WHY DO YOU JOIN AS VOLUNTEER IN OUR ORGANIZATION?

All feedback expressed by the Patient/Relative are solely their own opinions and do not reflect the opinion of "VOP" foundation (a) We have tried to ensure that information provided in the Website is accurate. However we make no representaion and give no warranty of any kind in respect of the information. (b) We do not accept liablity for any loss ( direct , indirect or conseqential) which may arise from reliance on information contained in the website or in respect of any error or omission . (C) We do not have intention to harm the reputation of health facilitator at all without prejudice.