JOIN THE GIRL CYBER DEFENCE VOLUNTEER FORM Become A Part Of Women Cyber Safety & Digital Protection Mission Full Legal Name *Father’s Name *Mother’s Name *Gender *Female OnlyDate of Birth *Nationality *Religion *Category / Caste *GeneralOBCSCSTOtherMarital Status *SingleMarriedDivorcedWidowHusband’s Name (If Applicable)Blood Group (Optional)Aadhaar Number *0 / 12What Are You Currently Doing? *School StudentCollege StudentWorking ProfessionalBusinessHomemakerFreelancerJob SeekingOtherCurrent Occupation / Income Source *Father’s Occupation *Mother’s Occupation *Full Permanent Address *Birth City *Permanent District *Permanent State *Permanent Country *Permanent Pincode *Is Your Current Address Different From Your Permanent Address? *YesNoFull Current Address *Current City *Current District *Current State *Current Country *Current Pincode *How Long Have You Been Living At Your Current Address? *Are You Comfortable Participating In Offline Awareness Programs If Required? *YesNoDepends On SituationPrimary Mobile Number *Alternate Mobile Number *WhatsApp Number *Email Address *Telegram Username (Optional)Instagram Username *Facebook Profile Link (Optional)LinkedIn Profile Link (Optional)YouTube Channel Link (Optional)Do You Use Social Media Daily? *YesNoAverage Daily Internet Usage Time *Less Than 1 Hour1–3 Hours3–5 HoursMore Than 5 HoursHighest Qualification *School / College / University Name *Stream / Subject *10th Percentage / Grade *10th Roll Number *12th Percentage / Grade *Graduation Percentage / CGPA *Languages You Can Read, Write & Speak *Do You Have Laptop / PC? *YesNoWhat Kind Of Smartphone Are You Using? *AndroidiPhoneOtherInternet Availability At Your Location *ExcellentGoodAveragePoorDo You Have Skills In Any Of The Following? *Public SpeakingSocial Media ManagementContent WritingVideo EditingGraphic DesigningCyber AwarenessEvent ManagementLeadershipCounsellingResearch WorkTechnical KnowledgeOtherDo You Have Experience In Awareness Programs Or NGO Activities? *YesNoIf Yes, Explain Briefly *Why Do You Want To Join Girl Cyber Defence Mission? *How Will You Help Spread Cyber Awareness Among Girls & Women? *According To You, What Is The Biggest Online Threat Faced By Girls Today? *Have You Ever Faced Any Of The Following? *Online BlackmailingFake ProfileCyber HarassmentOnline StalkingMorphing / DeepfakeHackingEmotional ManipulationSextortionPrivacy LeakFinancial ScamNoneAre You Comfortable Working In Women Safety & Cyber Awareness Campaigns? *YesNoAre You Comfortable Communicating With Other Girls Regarding Cyber Awareness? *YesNoHow Many Hours Per Week Can You Contribute? *1–2 Hours3–5 Hours5–10 HoursMore Than 10 HoursWhat Kind Of Activities Would You Like To Participate In? (Multiple Selection) *Social Media AwarenessOnline CampaignsWomen Safety ProgramsStudent Awareness CampaignsSeminar OrganizationEvent ManagementContent CreationCommunity AwarenessVolunteer CoordinationDigital Awareness WorkshopsOtherHas Any FIR Ever Been Registered Against You? *YesNoIf Yes, Please Explain Briefly *Have You Ever Been Arrested Or Detained? *YesNoAre You Comfortable Following Strict Privacy & Mission Guidelines? *YesNoDo You Agree To Maintain Confidentiality Regarding Sensitive Information Shared During Volunteer Activities? *YesNoAre You Joining This Mission Voluntarily Without Any External Pressure? *YesNoDo You Understand That This Volunteer Program Does Not Guarantee Employment Or Salary? *YesNoDo You Agree To Represent Girl Cyber Defence Respectfully & Responsibly? *YesNoEmergency Contact Person Name *Relationship With Emergency Contact *Emergency Contact Number *Emergency Contact Address *Is Your Family Aware That You Are Applying For This Volunteer Program? *YesNoUpload Your Latest Three Photo* *Drag and Drop (or) Choose FilesUpload Aadhaar Front Side Of ID Proof *Choose FileNo file chosenDelete uploaded fileUpload Aadhaar Back Side Of ID Proof *Choose FileNo file chosenDelete uploaded fileSignature *Start signing your signature hereYour browser does not support e-Signature field.Do You Confirm That All Information Submitted By You Is Accurate & Genuine? *YesNoDo You Understand That Submission Of False Information May Result In Permanent Rejection, Blacklisting, Or Legal Escalation? *YesNoDo You Agree To Follow The Mission Principles, Ethical Standards, And Operational Discipline Of Girl Cyber Defence? *YesNoDo You Agree That All Submitted Information Will Be Handled Under Privacy-Focused Operational Protocols? *YesNoConsent *Yes, I agree with the privacy policy and terms and conditions. SubmitSave as Draft
