help to heal














Registration Form for donations made by Cheque/DD/Pay Order

Please fill in the form below to send in your donation. Fields marked * are mandatory.


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Education Qualification:

  Secondary School with Extra Skills
  Graduation
  Post Graduation
  Any ohter professional skills

How many hours you are available for volunteer/Internship assignment?(Per Week)

  4
  6
  8

Please mention any previous experience as a volunteer in other organisation

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