Join as a Rescuer

Please fill out your details to join.

Personal

Contact

Other

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Personal Details

Full Name

Please enter your full name.

Date of Birth (DOB)

Please enter your date of birth.

Gender

Please select your gender.

Father's Name

Please enter your father's name.

Blood Group

Aadhaar Number

Please enter a valid 12-digit Aadhaar number.

Contact & Location

WhatsApp Number

Please enter a valid 10-digit WhatsApp number.

Mobile Number

Please enter a valid 10-digit mobile number.

Email Address

Please enter a valid email address.

Block

Please enter your block.

District

Please enter your district.

PIN Code

Please enter a valid 6-digit PIN code.

Full Postal Address

Please enter your postal address.

Rescuer Information

Experience

Please enter your experience.

Rescue Status

Please select the rescue status.

Training

Equipment

Species Knowledge

Please select species knowledge.

Wildlife Awareness

Please select an option.

Forest Dept. Coordination

Please select an option.

Emergency Availability

Please select emergency availability.

Nearest Forest Division

Remarks

Document Upload

Passport Photo

Upload a clear recent passport-size photograph.

Please upload your passport photo.

Rescue Photos (Optional)

You may upload multiple rescue photographs.

I confirm that the information provided by me is true and correct to the best of my knowledge. I understand that my application may be reviewed and verified before approval as a rescuer.

Please accept the declaration before submitting your application.

Application Instructions

Please follow these guidelines to ensure a smooth application process.

Be Accurate
Ensure all details, especially your email and mobile number, are correct.
Required Fields
Fields marked with red text or borders are mandatory. You must fill them to proceed.
Photo Uploads
Please upload a clear, recent passport-sized photograph. Rescue photos are optional but helpful.
After Submission
Our team will review your application. We will contact you via email or mobile for the next steps.

Thank you for your interest in joining the Odisha Snake Helpline!

Join as a Rescuer

Personal Details

Contact & Location

Rescuer Information

Document Upload

Application Instructions

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