Membership

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Name

Address

City/Town

State

Pin Code

Nationality

Gender

Male Female

Date Of Birth

Anniversary

Contact No.

Whatsapp Number

Email ID

Ward No.

Blood Group

Occupation #Name of Organization

Designation

If you are a student mention your Institution Name

Name

Mobile

I confirmed to give amount of Rs.100/- per months fr the membership and welfare of the society

Confirmed

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For Add New Members