Lead India 2020 - Registration

Lead India 2020 Registration Form

Please fill the form as much as you can and click submit button at the end.

Thanks for your support to Lead India 2020.

Current Address

*Last Name

*First Name

*Middle Initial

Occupation

Address1

Address2

City

State

Zip/Pin

Country

*Email

Web Site

Contact Information

Phone Home:

Cell:

Work:

Address in India

Address1

Address2

City

Mandal

District

State

Zip/Pin

Phone Home:

Cell:

Possible date of India visit

Other NGO Organizations

Lead India 2020 - Interests

I will undergo Lead India 2020 training program

I will volunteer to provide training in my local community

I will organize meetings in my local communities

I will lead/mentor to my schools/village/mandal/district

I will be a local media coordinator

I will visit my school/village and share my scuccess story (Enter possible visit date above)

I will promote/connect the movement with other NGOs (Please mention NGOs in the earlier section)

Feedback on meetings attended:

Location

Date

Comments/Suggestions