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Help me hear
صفحه اصلی
Help me hear
Komak Volunteering Application Form
The main foundation charity activities are based on helping children needing implant, this help will not only have the children own hearing bless, but also able them to educate with normal children. You can join our big family filling this form.
Full Name
*
Father Name
*
Date Of Birth
*
Education
Career
Email
*
Country
Address
Mobile
*
Type of Help
*
Cash
non-Cash
Type of payments
Monthly
Yearly
Explanation Amount
Amount
Amount (Toman)
10000
20000
50000
100000
200000
500000
1000000
Type of Help
حضوری
غیرحضوری
مشاوره
غیره
Description
Email
This field is for validation purposes and should be left unchanged.
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