Join the NGO «ADRPDU»

Questionnaire

To become a Member of the public organization APRPDU, you need to fill out a questionnaire. Your application will be considered within 5 working days. Our manager will contact you at the indicated e-mail or phone and will tell you in detail about the rights and obligations of the Participant of the PO APRPDU.

Name

Surname

Phone number

Email address

Residence
Enter the name of the city (village) and region

Date of birth

Sex

Disability
Choose what kind of disability you have

Disability group
Select a disability group

Describe your disability
Describe exactly what limitations you have, the reasons and duration of disability

Education
Describe what you graduated from, what kind of education you have

Do you have a job?
Describe what exactly you do and where

The specified information will be confidential and will be used only within the fund, and in no case will be transferred to third parties or organizations.

Join the NGO «ADRPDU»

Questionnaire

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