Volunteer Registration Form

  • Volunteer Registration Form

स्वयंसेवक नोंदणी फॉर्म

Volunteer Registration Form
यातील काय काय कामे आपण करू शकता?
What type of contribution you may share?
This field is required.
This field is required.
तुम्ही कश्या प्रकारे मदत करू शकता?
How will you help?
सविस्तर माहिती लिहा / Enter details
This field is required.
This field is required.
तुमचे संपूर्ण नावं
Your Full Name
Enter your name here
Name is required.
Name is required.
लिंग
Gender
Gender is required.
Gender is required.
Please specify other gender
Please specify other gender.
Please specify other gender.
वय
Age
  • - select a option -
  • 18 years
  • 19 years
  • 20 years
  • 21 years
  • 22 years
  • 23 years
  • 24 years
  • 25 years
  • 26 years
  • 27 years
  • 28 years
  • 29 years
  • 30 years
  • 31 years
  • 32 years
  • 33 years
  • 34 years
  • 35 years
  • 36 years
  • 37 years
  • 38 years
  • 39 years
  • 40 years
  • 41 years
  • 42 years
  • 43 years
  • 44 years
  • 45 years
  • 46 years
  • 47 years
  • 48 years
  • 49 years
  • 50 years
  • 51 years
  • 52 years
  • 53 years
  • 54 years
  • 55 years
  • 56 years
  • 57 years
  • 58 years
  • 59 years
  • 60 years
- select a option -
Age is required.
Age is required.
ब्लड ग्रुप
Blood Group
  • - select a option -
  • A RhD positive (A+)
  • A RhD negative (A-)
  • B RhD positive (B+)
  • B RhD negative (B-)
  • O RhD positive (O+)
  • O RhD negative (O-)
  • AB RhD positive (AB+)
  • AB RhD negative (AB-)
- select a option -
Field is required!
Field is required!
तुमचा संपूर्ण पत्ता
Your Address
Address
Please enter your address.
Please enter your address.
प्रभाग
Area
select or type a area
  • Ambai Tank
  • Apte Nagar
  • Ardha Shivaji Putala
  • Azad Chowk
  • Babu Jamal
  • Bagal Chowk
  • Baicha Putala (Maulicha Putala)
  • Balwant Nagar
  • Bapat Camp
  • Basant Bahar Road
  • Bazar Gate
  • Bhausingji Road
  • Bhavani Mandap
  • Bhosalewadi
  • Bindu Chowk
  • Bondre Nagar
  • Brahmapuri- Juna Budhwar Peth
  • Buddha Garden
  • Central S T Stand
  • Circuit House
  • Collector Office
  • Commerce College
  • Crusher Chowk
  • CSIBER Chowk
  • Dabholkar Corner
  • Dabholker Corner
  • Dasara Chowk
  • Daulat Nagar
  • Devkar Panand
  • Dhabholkar Corner
  • Dudhali
  • Gajanan Maharaj Nagar
  • Gandhinagar
  • Gangavesh
  • Gokul Shirgaon
  • Gujari
  • Hari Om Nagar
  • Isolation Hospital
  • ITI College
  • Jakat Naka
  • Jarag Nagar
  • Jawahar Nagar
  • Jivaba Nana Park
  • Juna Budhawar Peth
  • Kadamwadi
  • Kalamba Filter House
  • Kalamba Jail
  • Kanan Nagar
  • Kanerkar Nagar
  • Kapilteerth Market
  • Kasaba Bawada
  • Kasaba Bawada Line Bazar
  • Kawala Naka
  • Khari Corner
  • Khol Khandoba
  • Kolekar Tikati
  • Krantisinha Nana Patil Nagar
  • Kumbhar Galli
  • Lakshtirtha Vasahat
  • Laxmipuri
  • Lugadi Lane
  • Mahadwar Road
  • Mahalaxmi Nagar
  • Maharana Pratap Chowk
  • Mali Colony
  • Manageshkar Nagar
  • Mandalik Vasahat
  • Manermal Shalini Palace
  • Mangalwar Peth
  • Market Yard
  • Matang Colony
  • MIDC - Gokul Shirgaon
  • Mirajkar Tikati
  • Mohite Park
  • Morewadi
  • Mukt Sainik Vasahat
  • Muncipal Corporation
  • Nagala Park
  • Nathagole Talim
  • Nehru Nagar
  • New Palace
  • New Shahupuri
  • Pachgaon
  • Panjarpol
  • Panyacha Khajina
  • Papachi Tikati
  • Phulewadi
  • Phulewadi Ringroad
  • Pratibha Nagar
  • R K Nagar
  • Racecourse Naka
  • Raigad Colony
  • Rajarampuri
  • Rajashree Chatrapati Shahu Market Yard
  • Rajendra Nagar
  • Rajlaskmi Nagar
  • Rajopadhye Nagar
  • Raman Mala
  • Ramanand Nagar
  • Rankala Stand
  • Rankala Talav
  • Raviwar Peth
  • Ruikar Colony
  • Ruiker Colony
  • Sadar Bazar
  • Salokhe Nagar
  • Salokhe Park
  • Sambhaji Nagar
  • Sambhaji Nagar S.T. Stand
  • Samrat Nagar
  • Sane Guruji Vasahat
  • Sasane Ground
  • Shahu Collage Area
  • Shahu Maidan
  • Shahu Mill
  • Shahu Stadium
  • Shahupuri
  • Shaniwar Peth
  • Shastri Nagar
  • Shinde Angan
  • Shingnapur
  • Shingoshi Market
  • Shipugade Talim
  • Shiroli
  • Shivaji Chowk
  • Shivaji Park
  • Shivaji Peth
  • Shivaji Pul
  • Shivaji Road
  • Shivaji Stadium
  • Shivaji Udyam Nagar
  • Shivaji University
  • Shukrawar Peth
  • Somwar Peth
  • Sonya Maruti Chowk
  • Subhash Nagar
  • Subhash Road
  • Sugar Mill
  • Surve Nagar
  • Sykes Extension
  • Takala
  • Tapovan
  • Tarabai Park
  • Tararani Chowk
  • Tembe Road
  • Temblaiwadi
  • Timber Market
  • Treasury Office
  • Uchagaon
  • Udyam Nagar
  • Ujalaiwadi
  • Uttareshwar Peth
  • Varsha Nagar
  • Venus Corner
  • Vichare Mal
  • Vikram Nagar
  • Y P Powar Nagar
  • Yadav Nagar
Please select a area.
Please select a area.
महानगरपालिका वार्ड
Muncipal Corporation Ward
  • - select a option -
  • Ward No.1 - SUGAR MILL
  • Ward No.2 - KASABA BAVADA NORTH
  • Ward No.3 - KASABA BAVADA TANK
  • Ward No.4 - KASABA BAWADA LINE BAZAR
  • Ward No.5 - LAXMIVILAS PALACE
  • Ward No.6 - POLICE LINE
  • Ward No.7 - CIRCUIT HOUSE
  • Ward No.8 - BHOSALEWADI-KADAMWADI
  • Ward No.9 - KADAMWADI
  • Ward No.10 - SHAHU COLLEGE
  • Ward No.11 - TARABAI PARK
  • Ward No.12 - NAGALA PARK
  • Ward No.13 - RAMAN MALA
  • Ward No.14 - VENUS CORNOR
  • Ward No.15 - KANAN NAGAR
  • Ward No.16 - SHIVAJI PARK
  • Ward No.17 - SADAR BAZAR
  • Ward No.18 - MAHADIK VASAHAT
  • Ward No.19 - MUKTA SAINIK VASAHAT
  • Ward No.20 - RAJASHRI CHATRAPATI SHAHU MARKET YARD
  • Ward No.21 - TEMBLAIWADI
  • Ward No.22 - VIKRAMNAGAR
  • Ward No.23 - RUIKAR COLONY
  • Ward No.24 - SYKES EXTENSION
  • Ward No.25 - SHAHUPURI TALIM
  • Ward No.26 - COMMERCE COLLEGE
  • Ward No.27 - TREASURY OFFICE
  • Ward No.28 - SIDDHARTH NAGAR
  • Ward No.29 - SHIPUGDE TALIM
  • Ward No.30 - KHELKHANDOBA
  • Ward No.31 - BAZAR GATE
  • Ward No.32 - BINDU CHOWK
  • Ward No.33 - MAHALAXMI MANDIR
  • Ward No.34 - SHIVAJI UDYAMNAGAR
  • Ward No.35 - YADAVNAGAR
  • Ward No.36 - RAJARAMPURI
  • Ward No.37 - RAJARAMPURI-TAVNAPPA HIGHSCHOOL
  • Ward No.38 - TAKALA KHAAN-MALI COLONY
  • Ward No.39 - RAJARAMPURI EXTENSION
  • Ward No.40 - DAULATNAGAR
  • Ward No.41 - PRATIBHA NAGAR
  • Ward No.42 - PANJARPOL
  • Ward No.43 - SHASTRINAGAR-JAVAHARNAGAR
  • Ward No.44 - MANGESHKAR NAGAR
  • Ward No.45 - KAILASGADCHI SWARI MANDIR
  • Ward No.46 - SIDHALA GARDEN
  • Ward No.47 - FIRANGAI
  • Ward No.48 - TATAKADIL TALIM
  • Ward No.49 - RANKALA STAND
  • Ward No.50 - PANCHAGANGA TALIM
  • Ward No.51 - LAXATIRTH VASAHAT
  • Ward No.52 - BALRAM COLONY
  • Ward No.53 - DUDHALI PROVALIYAN
  • Ward No.54 - CHANDRESHVAR
  • Ward No.55 - PADMARAJE UDYAN
  • Ward No.56 - SAMBAJINAGAR BUS STAND
  • Ward No.57 - NATHGOLE TALIM
  • Ward No.58 - SAMBHAJI Nagar
  • Ward No.59 - NEHRUNAGAR
  • Ward No.60 - JAWAHAR NAGAR
  • Ward No.61 - SUBHAH NAGAR
  • Ward No.62 - BUDHAGARDEN
  • Ward No.63 - SAMRAT NAGAR
  • Ward No.64 - SHIVAJI VIDYAPEET-KRUSHI MAHAVIDYALAY
  • Ward No.65 - RAJENDRANAGAR
  • Ward No.66 - SWATANTRA SAINIK COLONY
  • Ward No.67 - RAMANAND NAGAR-JARAGNAGAR
  • Ward No.68 - KALAMBA FILTER HOUSE
  • Ward No.69 - TAPOVAN
  • Ward No.70 - RAJLAXMI NAGAR
  • Ward No.71 - RANKALA TALAV
  • Ward No.72 - PHULEWADI
  • Ward No.73 - PHULEWADI RING ROAD
  • Ward No.74 - SANEGURUJI VASAHAT
  • Ward No.75 - APTENAGAR-TULJABHAVANI
  • Ward No.76 - SALOKHENAGAR
  • Ward No.77 - SHASHKIYA MADYAVARTI KARAGRUHA
  • Ward No.78 - RAIGAD COLONY-BABA JARAGNAGAR
  • Ward No.79 - SURVENAGAR
  • Ward No.80 - KANERKARNAGAR-KRANTISINHA NANA PATIL NAGAR
  • Ward No.81 - KRANTISINHA NANA PATIL NAGAR- JEVBA NANA PARK
- select a option -
This field is required.
This field is required.
मोबाईल नंबर
Mobile Number
Mobile Number
Please enter your mobile number.
Please enter your mobile number.
स्वतः बद्दल माहिती
Information about yourself
Please enter some details
This field is required.
This field is required.
तुम्ही या सेवेसाठी रोज किती वेळ देऊ शकता?
What time you can share for this volunteer service?
This field is required.
This field is required.
  • No products in the cart.