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Sombhabona Youth For Bangladesh
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1
Full Name
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First Name
Last Name
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2
Address
Your current address
Street Address
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City
Postal/Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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3
E-mail
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4
Phone Number
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5
Preferences in Area of Volunteering
Would love to!
Would like to.
Wouldn't mind helping.
Not this area.
Teaching
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Environment
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Cleanliness
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Cultural practise
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
Awareness
Row 4, Column 0
Row 4, Column 1
Row 4, Column 2
Row 4, Column 3
Teaching
Environment
Cleanliness
Cultural practise
Awareness
Would love to!
Row 0, Column 0
Would like to.
Row 0, Column 1
Wouldn't mind helping.
Row 0, Column 2
Not this area.
Row 0, Column 3
Would love to!
Row 1, Column 0
Would like to.
Row 1, Column 1
Wouldn't mind helping.
Row 1, Column 2
Not this area.
Row 1, Column 3
Would love to!
Row 2, Column 0
Would like to.
Row 2, Column 1
Wouldn't mind helping.
Row 2, Column 2
Not this area.
Row 2, Column 3
Would love to!
Row 3, Column 0
Would like to.
Row 3, Column 1
Wouldn't mind helping.
Row 3, Column 2
Not this area.
Row 3, Column 3
Would love to!
Row 4, Column 0
Would like to.
Row 4, Column 1
Wouldn't mind helping.
Row 4, Column 2
Not this area.
Row 4, Column 3
1
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6
Preferred Area for Work
Please specify you preferred area for assigning work
Dhanmondi
Kalshi
Mirpur
Other
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7
Preferences in Time
8am-12pm
12pm-5pm
5pm-10pm
Best time for me.
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Not Available
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Best time for me.
Not Available
8am-12pm
Row 0, Column 0
12pm-5pm
Row 0, Column 1
5pm-10pm
Row 0, Column 2
8am-12pm
Row 1, Column 0
12pm-5pm
Row 1, Column 1
5pm-10pm
Row 1, Column 2
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of 2
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8
Preferences in Day in Week
Mention you available day in week
Saturday
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Available
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
Row 0, Column 5
Row 0, Column 6
Not Available
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Row 1, Column 4
Row 1, Column 5
Row 1, Column 6
Available
Not Available
Saturday
Row 0, Column 0
Sunday
Row 0, Column 1
Monday
Row 0, Column 2
Tuesday
Row 0, Column 3
Wednesday
Row 0, Column 4
Thursday
Row 0, Column 5
Friday
Row 0, Column 6
Saturday
Row 1, Column 0
Sunday
Row 1, Column 1
Monday
Row 1, Column 2
Tuesday
Row 1, Column 3
Wednesday
Row 1, Column 4
Thursday
Row 1, Column 5
Friday
Row 1, Column 6
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9
Do you agree to Donate Blood?
YES
NO
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10
Blood Group
*
This field is required.
Please share your blood group for donating blood as Sombhabona youth
O+
O-
A+
A-
B+
B-
AB+
AB-
Blood Group
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
Row 0, Column 5
Row 0, Column 6
Row 0, Column 7
Blood Group
O+
Row 0, Column 0
O-
Row 0, Column 1
A+
Row 0, Column 2
A-
Row 0, Column 3
B+
Row 0, Column 4
B-
Row 0, Column 5
AB+
Row 0, Column 6
AB-
Row 0, Column 7
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11
Already Volunteer at Sombhabona Youth?
*
This field is required.
If you are a new volunteer please select no. If you work with sombhabon previous any event please select yes.
YES
NO
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12
Joining Date to Sombhabona Youth
-
Date
Year
Month
Day
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13
Please mention previous event you have participate.
2016
2017
2018
Winter Festival
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Row 0, Column 1
Row 0, Column 2
Boishaki Festival
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Eid Festival
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Fruit Festival
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Eso Moja kore khai
Row 4, Column 0
Row 4, Column 1
Row 4, Column 2
Row 5, Column 0
Row 5, Column 1
Row 5, Column 2
Winter Festival
Boishaki Festival
Eid Festival
Fruit Festival
Eso Moja kore khai
2016
Row 0, Column 0
2017
Row 0, Column 1
2018
Row 0, Column 2
2016
Row 1, Column 0
2017
Row 1, Column 1
2018
Row 1, Column 2
2016
Row 2, Column 0
2017
Row 2, Column 1
2018
Row 2, Column 2
2016
Row 3, Column 0
2017
Row 3, Column 1
2018
Row 3, Column 2
2016
Row 4, Column 0
2017
Row 4, Column 1
2018
Row 4, Column 2
2016
Row 5, Column 0
2017
Row 5, Column 1
2018
Row 5, Column 2
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14
Any Special Comments32
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15
How do you mark Sombhabona Youth for Bangladesh (SYOB)?
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Sombhabona Youth For Bangladesh
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