Lets Reform be for Prosperity

Volunteer Registration Form

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Personal Information

Gender
Blood Group
Are you a blood donor?
Marital Status
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Present Educational Institute
Present Address
Permanent Address

Family Information

Is/was father involved in politics?
Is/was mother involved in politics?

Personal Involvement & Background

Are you involved in any voluntary organization?
Are you a smoker?
Are/were you involved in any political organization?
Do you have any criminal records?
Do you have any health issues?
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