Volunteers/ Sangarsh Senani Registered So Far
Total Count
Doctor
Nurse
Paramedics
Home Delivery
Social Distancing Comm.
Public Comm.
District Management
Tele Consult- Mental Health
Any Other
90015
1369
1178
3013
14893
13700
16941
13161
243
25500
Covid-19 Sangharsh Senani Form
Personal Detail
Name
*
Father Name
*
Date of Birth
*
Gender
*
Male
Female
Mobile Number
*
Aadhar Number
Address
Flat/Door/Block No.
*
Premises/Building/Village
*
Road/Street/Post Office
State
*
Haryana
Chandigarh
Delhi
District
*
Select Option
Panchkula
Yamunanagar
Kurukshetra
Karnal
Panipat
Sonipat
Fatehabad
Sirsa
Hisar
Bhiwani
Charkhi Dadri
Rohtak
Jhajjar
Mahendragarh
Gurugram
Nuh
Faridabad
Palwal
Kaithal
Jind
Rewari
Ambala
Tehsil
*
Select Option
Town / Village
*
Select Option
Pin Code
Area Of Help - Covid-19 Sangharsh Senani
Area Of Operations
*
Select Option
Doctors
Nurse
Paramedics
Home Delivery
Social Distancing Communication
Public Communication
District Management
Tele Consultation- Mental Health
Any Other
Registration number
*
Registration Number
*
Experience?
*
Experience?
*
Have a vehicle? Yes/ No
*
Select Option
Yes
No
Vehicle Type?
*
Select Option
2 wheeler(bike,scooter,etc.)
3 wheeler(autorickshaw,etc.)
4 wheeler(Sedan,SUV,etc.)
Vehicle Registration Number?
*
Please Specify if you are a Psychotherapist, Psychiatrist, Psychologist, MBBS Students etc.
*
Please Specify
*
Willingness/ Scope of Covid-19 Sangharsh Senani
*
Anywhere near your area
Anywhere in your District