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Village Tech Sewa Kendra
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Intake form
Help us serve you better
Name
*
Email address
*
What services are you interested in?
Please select at least one option.
Internet Services
Online Payment Facilities
Mobile Recharge
DTH Recharge
Digital Literacy Training
What is your preferred method of communication?
Select
Phone Call
Text Message
Email
In-Person
What is your location?
How did you hear about us?
Select
Social Media
Word of Mouth
Online Search
Community Event
What is your age group?
Select
Under 18
18-24
25-34
35-44
45-54
55 and above
Do you have any prior experience with digital services?
Select
Yes
No
What is your occupation?
Additional questions or comments
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