Protect yourself against COVID-19 - Maintain Social Distance ... Maintain Hygiene
Digital Outreach Form
Note: The candidates who have filled up the information earlier, need not require to do it again.
Name of the Candidate
E-mail id you have used for Registration
Phone No you have used for Registration
Is this your own phone number
Please mention your phone number
Do you have WhatsApp on this No?
Do you have Facebook Account?
Your Facebook ID please
Do you have an Instagram ID?
Your Instagram ID please
Do you have access to a Laptop / PC with Internet Connection ?
What is your preferred Mode of Communication?
ALL OF THE ABOVE