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A unique Civil Defence Initiative that gives every citizen an opportunity to engage actively in creating safer neighbourhoods, stronger communities and trains them to tackle any contingency
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Provide a password for the new account in both fields.
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a.Personal Information
1.Name in full: *
(in Block letters)
2.Father's Name: *
3.Date of Birth: *
  
4.Nationality: *
b.Permanent Address
1. House No/Street Name: *
2. Locality/Area: *
Indiranagar,Vijayanagar,JP Nagar etc
3. City: *
Bangalore,Chennai,Mumbai etc
4. PIN: *
c. Employer Details
1. Occupation: *
2. Name of the Company/Organization:
3. House No/Street Name:
4. Locality/Area:
Indiranagar,Vijayanagar,JP Nagar etc
5. City: *
Bangalore,Chennai,Mumbai etc
6. PIN: *
d. Are you a member of the following -
1. Defence Forces(Army/Navy/Airforce) or any of their reserves:
No Yes
2. Territorial Army or any other auxiliary force of the Defence Services:
No Yes
3. Civilian Cadre of Armed Forces of the Union,subject to Naval,Army or Airforce law other than "Casual Employees":
No Yes
4. Police Service:
No Yes
5. Fire Service:
No Yes
e. Other Details
1. Are you an Ex-Service person?if so,give particulars:
No Yes
2. Do you belong to the national volunteer force?if so ,give particulars:
No Yes
3. Have you any previous experience in CIvil Defence Service?If so,give particulars including date:
No Yes
f. More Details
11. Educational Qualifications:
12. Languages known (read/write/speak):
17. For how many hours and on what days of the week will you be available for Civil Defence duty(for part-time volunteers only):
18. Do you have any conveyance(bicycle,motor cycle,motor car etc.):
19. Do you know First Aid /Motor Driving?:
20. Jurisdictional Police Station Name/Polling Booth:
21.Civil Defence Division No.: