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Membership Form
Please fix the following:
Basic Info
Mobile
Date of Birth
First Name
Last Name
Father's Name
Mother's Name
Gender
--Select Gender--
Male/पुरुष
Female/स्त्री
Marital Status
--Select Marital Status --
Married/विवाहित
Unmarried/अविवाहित
Divorced/तलाकशुदा
Hasband's Name
Spouse's Name
Email
Blood Group
--Select Boold Group--
A+
A-
B+
B-
AB+
AB-
O+
O-
Education
--Select Your Education--
प्राथमिक शिक्षा (Primary Education)
माध्यमिक शिक्षा (10वीं - Secondary)
उच्च माध्यमिक शिक्षा (12वीं - Higher Secondary)
स्नातक (Graduate - B.A./B.Sc./B.Com/B.Tech etc.)
स्नातकोत्तर (Postgraduate - M.A./M.Sc./M.Com/M.Tech etc.)
डिप्लोमा / आईटीआई (Diploma / ITI)
पीएच.डी / शोध (Ph.D. / Research)
अन्य (Other)
Profession
--Select Your Profession--
सरकारी कर्मचारी (Government Employee)
निजी क्षेत्र (Private Sector Employee)
व्यवसायी / व्यापारी (Business Owner / Trader)
किसान (Farmer)
सामाजिक कार्यकर्ता (Social Worker)
अधिवक्ता / वकील (Lawyer)
शिक्षक / प्राध्यापक (Teacher / Professor)
डॉक्टर (Doctor)
इंजीनियर (Engineer)
तकनीकी विशेषज्ञ (Technical Expert)
पत्रकार (Journalist)
गृहिणी (Homemaker)
छात्र (Student)
बेरोजगार (Unemployed)
सेवानिवृत्त (Retired)
अन्य (Other)
Correspondence Address
Flat/House Number
Address Line 2
City
Country
--Select Country--
INDIA
State
--Select State--
District
--Select District--
Pin Code
Permanent Address
Flat/House Number
Address Line 2
City
Country
--Select Country--
INDIA
State
--Select State--
District
--Select District--
Pin Code
Other Details
Political Inclination and Ideology
If you are a member of any other social or political organization, please provide details
How Would You Like to Contribute to the Organization?
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