BUGIRI RURAL DEVELOPMENT ORGANIZATION

                  Membership/Volunteer Application Form

Name _____________________________________________________________

Date of Birth_________________________ 

Religion____________________________

Country_______________________________________________________

Telephone Contacts

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Gender_______________________________________________________

Education Qualification__________________________

Profession: _______________________Marital Status_________________

Languages Spoken_________________________

Address _____________________________________________________________

Previous experience with social work

_____________________________________________________________

Any Comment

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Would you like to help in? (Tick the appropriate alternative)

a)Membership                                                         b) Volunteering

 d)  any other service (please specify)

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 Would you like to suggest something?

_______________________________________________________________________________________________________________________________________________________________________________________

Signed ....................................................................Date................................................................

                            Applicant

Signed.................................................................... Date................................................................

                     On behalf of Bugiri Rural Development Organization

                 Official Stamp