Child Sponsorship Form

NEWBEGINNINGS CHARITABLE TRUST Do.No 53-1-275, Christurajapuram Vijayawada – 520 008, AP, India Tel.No: +91 866 249 7559; +91 94944 75923 Email: [email protected] ; http://www.new-beginnings-in.webs.comFor Office use only:Application No:…………………… Application Verified:……………………… Status:………………………VOLUNTEER’S INFORMATIONPersonal Information:First Name: ______, Middle Name: ______, Surname: ______Date of Birth: ______, Gender: ______, Nationality: ______Father’s Name (Full): ______, Mother’s Name: ______Residential Address: __________________Tel. Phone No: ______, Mobile No: ______Email: ______Passport ID: ______, Place of Issuing: ______Visa ID: ______, Place of Issue: ______Date of Issue: ______, Validity of Visa: ______Emergency Contact Details (please provide at least two persons):Contact 1:Name: ______Contact Details: ____________Tel. Phone No: ______, Mobile No: ______“Together towards a better world” NEWBEGINNINGS CHARITABLE TRUST Do.No 53-1-275, Christurajapuram Vijayawada – 520 008, AP, India Tel.No: +91 866 249 7559; +91 94944 75923 Email: [email protected] ; http://www.new-beginnings-in.webs.comContact 2: Name: ______Contact Details: ____________Tel. Phone No: ______, Mobile No: ______Medical/Health Information:Your Health Record:____________________________________(Provide us with the information that you think that we should know for better care)(Submit relevant photocopies of the Medical Records/ Certificates)Project Details:What kind of project you wish to work with (Kindly select one/Two and highlight/bold your selection) o Street Children o Any other. Please mention o Teaching at schools/rural children here………………………………… o Rural Health Volunteer o Environment projects/ women o Child labour projects groups o Home for the aged“Together towards a better world” NEWBEGINNINGS CHARITABLE TRUST Do.No 53-1-275, Christurajapuram Vijayawada – 520 008, AP, India Tel.No: +91 866 249 7559; +91 94944 75923 Email: [email protected] ; http://www.new-beginnings-in.webs.com o Human trafficking –rehabilitation o Volunteering in hospitals homes (girls)Programme Start Date:______, Programme Duration: ______No. of Weeks/Months: ______, Date of Departure: ______Place of preference if any: 1. ______, 2. ______(If the selected projects are not available in the preferred places, NCT will recommend projects available in the preferred places)If you wish to have holidays between your volunteering in a project, kindly mention hereProbable date of holidays: ______, Re-Joining the Project: ______If you wish to have your volunteering and holidays simultaneously, kindly mention how many hours of work you plan to put into the project: ______English Level: Beginner, Average, Good, Professional (please select any one)Known languages: ______Hobbies and Interests:____________Why do you wish to volunteer in India? Or General Motivation Letter for volunteering in India________________________“Together towards a better world” NEWBEGINNINGS CHARITABLE TRUST Do.No 53-1-275, Christurajapuram Vijayawada – 520 008, AP, India Tel.No: +91 866 249 7559; +91 94944 75923 Email: [email protected] ; http://www.new-beginnings-in.webs.com__________________________________________________________________________________________________________________“Together towards a better world” NEWBEGINNINGS CHARITABLE TRUST Do.No 53-1-275, Christurajapuram Vijayawada – 520 008, AP, India Tel.No: +91 866 249 7559; +91 94944 75923 Email: [email protected] ; http://www.new-beginnings-in.webs.comSelf-declarationThis is to certify that whatever the information I have furnished here is true to the best of my knowledge and I alone become responsible if any misrepresentation/misinformation is found in this application. I promise that I will obey the law of the country/state and assure that I will not conduct myself such a way that will be against the law/ custom/ culture of the country / community where I am placed for my volunteer service. I agree that in case of my not obliging to the rules/guidelines ofNCT or the law of the country/state, I abide by the decision of NCT. During my stay as volunteer with NCT, I promise that I will not indulge in any activity that is prohibited by the law of the country/state, or any act that is not acceptable by the local culture/custom.Date: …………………………………. Signature: ……………………Place: ………………………………… (Full Name in Black Letters)“Together towards a better world” NEWBEGINNINGS CHARITABLE TRUST Do.No 53-1-275, Christurajapuram Vijayawada – 520 008, AP, India Tel.No: +91 866 249 7559; +91 94944 75923 Email: [email protected] ; http://www.new-beginnings-in.webs.comHow to apply: Fill in and send the application to [email protected] at the earliest to ensure your placement with us. You need to fill in details regarding your personal information, choice of volunteering programme, duration, location and others  Once your application reviewed, you will receive a confirmation email and the NCT Volunteers’ Manuel.  Prior to your arrival to NCT, You will receive an email with all your project details, preferred place, airport pick up, orientation programmes and details, work schedule and etcP.S: If the volunteer is not from a Sending Organisation, you are requested to get a Letter of Reference, preferably signed by the head of your school, church head (should be legally registered and recognized) or any other registered youth group or etcIf you are a health care professional, it is compulsory for you to get a recommendation letter from the Institution you work/worked in. “Together towards a better world”

Child Sponsorship Form

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