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Summary of Request *
[Only this field is compulsory give as much information with phone number here itself]
Name
Address be Location, City
PINCODE
State
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Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chhattisgarh
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttarakhand
Uttar Pradesh
West Bengal
Andaman and Nicobar Islands
Chandigarh
Dadra and Nagar Haveli
Daman and Diu
Delhi
Lakshadweep
Puducherry
Contact number
+91
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Category
SOS Rescue
SOS Missing Person
Medical (Emergency)
Medical (Not Emergency)
Medical (Medicine)
Drinking Water
Food
Safety Needs
Groceries
Others
Priority
Low
Medium
High
SOS/Rescue/Urgent
Documents to attach (optional)
Help Details
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