NAME OF THE VOLUNTEER
:
FATHERS NAME
:
RESIDENTIAL ADDRESS
:
CITY
:
PHONE NO
:
EMAIL ID
:
CLASS OF STUDY
:
REGD NO
:
GENDER
:
MALE   FEMALE
CATEGORY
:
OC   BC   SC   ST   
BLOOD GROUP
:
ARE YOU WILLING TO DONATE BLOOD
:
yes   no
NUMBER OF TIMES BLOOD DONATED
:
PARTICIPATION IN EXTRA CURICULAR ACTIVITIES
:
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