Expression of interest

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Expression of the Interest to support
J&A Global HSE Foundation Program

Name of the candidate *

Email *

Phone *

Communication Address *

Educational Qualifications *

Designation *

Experience in HSE Field *

Company *

Name of the supervisor with designation, e-mail id, phone no. *

Details of volunteering activities in HSE profession, community development etc *

Areas where you can support J&A Global HSE Foundation activities? *

Will you be able to commit for 10 hours per month of volunteering with J&A Global HSE Foundation? *

References with Name, Designation, Phone, e-mail etc *

Provide any other relevant information? *