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Offer Food
Offer Food
Tell us what food support you can provide.
1
Your Details
Your Details
Your Name
*
Mobile Number
*
A 10-digit mobile number. Updates are sent here.
Organization Name
2
Address
Location
Block
Select block
GP / Municipality
Select a block first
Area / Village
Select a GP / Municipality first
Detailed Address
3
What You Would Like to Give
What You Are Offering
Type
*
Rice
Dal
Flour
Oil
Vegetables
Grocery Kit
Cooked Food
Baby Food
Other
Quantity
Number of People Supported
Distribution Date
Distribution Time
Distribution Location
4
Details
Additional Information
Description
*
Additional Remarks
5
Attachment
Attachment
Photo / Supporting Document
Click to upload or drag and drop
JPG, JPEG, PNG or PDF. Up to 5 MB.
·
Ready to upload
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Remove
I confirm the details above are true and I consent to being contacted by the MLA's Office about this submission.
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Submit Offer