Tech4Change - Request Form
Name of organization
Bhumi
Other
Project
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Request Date
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Month
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Day
Year
Date
Hour Minutes
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PM
AM/PM Option
Cause
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Please Select
Animal Welfare
Children
Culture and Heritage
Differently-abled
Education
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Other Cause
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About your organisation
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Website
Location
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Does your organisation have 12A/80G Certificate?
*
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Service
*
Service
*
Select Website
*
Please Select
www.bhumi.ngo
ilavasakalvi.in
fellowship.bhumi.ngo
scholarships.bhumi.ngo
run.bhumi.ngo
www.bhumi.ngo/partner/ngo/tech4change/
www.bhumi.ngo/partner/ngo/media4change/
Others
Title
*
Explain your Requirement
*
Content
Eg: Social Media Captions, Website Copy, Ad Captions etc.
Instructions
Upload Necessary attachments / Sample Works
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Name
*
Mobile
*
Email
*
example@example.com
Designation
*
Permission to contact
*
Yes
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