Muscular Dystrophy Association India

Voluteer Registration Form

Name
Date of Birth:
Address:
City:
State
Country
Postal Code:
Telephone/Mobile:
e-Mail:
Job Specification:
How do you know about MDA India?
Why join MDA India?
Any prior experience as Volunteer?
Note/Remarks
Your link with Charity:	I am affected I have a relative suffering from MD I am a Carer I am a professional involved with MD I have a friend suffering from MD
Languages Known:
I'm interested to work/help for:	Special Events Peer Support Fundraising Campaigning Counselling Other
If other, Please specify:
I would love to be available at these times
	Morning Afternoon Evening