Membership Registration

होम हस्ताक्षर अभियान सदस्यता पंजीकरण क्यों जुड़े

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परिचय नेतृत्व

गतिविधियाँ फोटो गैलरी प्रकोष्ठ वीडियो कार्यक्रम सहयोग संपर्क सदस्यता लॉगिन

Basic Info

Contact

Documents

Membership

Payment

⚠️ Kuch fields mein error hai — please fix karein:

Basic Information

Profile Picture

Upload Profile Picture

Select Cell *

Name *

Gender *

Date of Birth *

⚠️ Aapki umar 18 saal ya usse adhik honi chahiye.

Father Name *

Profession

Blood Group *

State *

District *

Mobile No * 0 / 10 digits

Alternative Mobile No 0 / 10 digits

Contact Information

Address *

Pincode * 0 / 6 digits

Documents Upload

Select Your ID *

ID No

ID Proof Upload *

Upload ID Proof

Membership Details

Membership Type *

Collection Amount *

Membership Charges

Annual Membership - ₹500/-

Lifetime Membership - ₹5000/-

Card Renewal Charge - ₹101/-

Bank Details

Indian Bank

Account Number: 7393739407

IFSC: IDIB000K623

UPI: 9919846541@indianbnk

Payment Information

Payment Mode *

Payment Receipt Upload *

Upload Receipt

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