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Membership Registration

Group Name:

Registration Date:

Name:

Date of Birth:

Father Name Husband Name

Gender:

Occupation:

Marital Status

Mobile No:

Email:

Share Money:

Membersheep Fee:

Membersheep Fee should be paid to office to activate as member. Otherwise mebersheep registration process will no complete.

Address

Village/Word:

Sub-Division:

District:

State:

Post Office:

PIN:

PAN:

ADHAR

Bank Details

Bank Name

Branch

Account No.

Confirm Account No.

IFSC

Image

Passport size photo

Image size should be within 200KB

Signature

Image size should be within 100KB

Please contact office for activate after registration done. Login ID and password will be sent to your mobile.