TILMELDINGSFORMULAR * ENROLMENT FORM * FICHE D'INSCRIPTION
 
INDIA
 

Tilmeldingsformular - Enrolment Form - Fiche d'inscription EXIS

 

Please fill out in English and press the "SUBMIT" button at the bottom of this page. Note: the Submit button will only be visible when you have read, understood and approved our terms and conditions.

For voluntary social work enrolments send a mail to info@exis.org with your CV and a personal letter of motivation explaining why you are interested in working as a volunteer and stating any previous experience.
Date:
First name:
Last name:
Address:
Country:
Telephone:
Mobile phone:
E-mail:
Nationality:
Occupation:
Education:
Birth date:
Passport number:
Issued date:
Issued place:
Expire date:
   
Special qualifications:
   
Languages spoken: language years
  language years
  language years
   
When can you start?
   
For Delhi or Jaipur:
How many weeks do you wish to volunteer, 1 week introduction included?
  4 weeks
  5 weeks
  6 weeks
  7 weeks
  8 weeks
  9 weeks
  10 weeks
  11 weeks
  12 weeks
   
  Do you want to participate in the Golden Triangle excursion?
 

yes

  no
  4 weeks in July
   
  Which type of volunteer work would you like to do?
  A1 Teaching English in Delhi
  A2 Work at orphanages in Delhi
 

A3 Women Community development in Delhi

 

A4 HIV/AIDS projects

  A5 Teaching English in Jaipur
  A6 Work at orphanages in Jaipur
   
For Bangalore:
How many weeks do you wish to volunteer, 1 week of introduction course included?
  4 weeks
  5 weeks
  6 weeks
  7 weeks
  8 weeks
  9 weeks
  10 weeks
  11 weeks
  12 weeks
   
  Which type of volunteer work would you like to do?
  B1 Work with mentally challenged
  B2 AIDS/HIV projects
 

B3 Work with children (street children and others)

 

B4 Work in an orphanage

  B5 Work with the visually impaired
  B6 Women's Development Groups
   
Do you smoke? Yes
  No
   
Diet Do you have any dietary restrictions (e.g. vegetarian)? If yes, please specify:
 
   
Pårørende der bedes underrettet i tilfælde af sygdom o. lign.
Who to contact in case of illness etc.
   
Surname, first name
   
Address
   
Telephone
   
E-mail:
   
Comments:
   
How did you find Exis?
   
Remember to send us your CV and letter of motivation   For voluntary social work enrolments please add a CV and a personal letter of motivation explaining why you are interested in working as a volunteer and stating any previous experience.