Membership Form
Join us in our social cause—membership is free!
अनिवार्य/ Mandatory
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नाम/Name
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लिंग/Gender
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Female
Male
Other
जन्म तिथि/Date of Birth
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आयु/Age
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पिता या पति का नाम/Father's or Husband Name
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पता/Address
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राज्य/State
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Uttar Pradesh
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Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chhattisgarh
Goa
Gujarat
Haryana
Himachal Pradesh
Jharkhand
Karnataka
Kerala
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttarakhand
West Bengal
Andaman and Nicobar Islands
Chandigarh
Dadra and Nagar Haveli and Daman and Diu
Lakshadweep
Delhi
Puducherry
Ladakh
Jammu and Kashmir
शहर/City
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Agra
मोबाइल/Mobile No.
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पेशा/Occupation
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Self-Employed
Service
Business
Housewife
Student
Retired
Freelancer
Professional
Other
वैकल्पिक/Optional
परिवार के सदस्यों की संख्या/No. of Family Members
ब्लड ग्रुप/Blood Group
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A+
A-
B+
B-
O+
O-
AB+
AB-
गोत्र/Gotra
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Bansal
Goyal
Kansal
Mittal
Singhal
Garg
Mangal
Tayal
Jindal
Dharan
Tingal
Airan
Madhukul
Kuchhal
Nagal
Bhandal
Bindal
Goyan
शिक्षा/Education
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Professional
Post Graduate
Graduate
Intermediate
High School
Diploma
Other
ईमेल आईडी/Email Id
संलग्न: फोटो /
Attached: Photograph
संलग्न: पहचान पत्र एवं पता प्रमाण /
Attached: ID & Address Proof
क्या आप हमारे ट्रस्ट के साथ सामाजिक कार्य में स्वयं सेवक के रूप में अपना समय और कौशल योगदान देना चाहेंगे?/
Would you like to contribute your time and skills as a volunteer in social work with our Trust?:
हाँ/Yes
नहीं/No
प्रचारात्मक गतिविधियाँ भेजने के लिए चेक बॉक्स और प्राधिकरण / Check box and authorization for send promotional activities
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Membership Fees
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