Member Registration

Account Holder A/C : Jan Suchna Evm Manvadhikar Mission
Account Number : 50200117305880
IFSC Code : HDFC0001365
Bank Name: HDFC

Duration : 1 year membership (fee : Rs. 300/-)
Duration : Life Time (fee : Rs. 1100/-)
Designation Validity : 1 Year
Designation renewal fee : Rs. 300/-

Name of applicant *

Father's / Husband's name *

Date of Birth *

Educational Qualification

Mobile No *

Alternate Mobile No

Address *

State *

District *

PIN Code *

Membership Duration *

Photo * (allowed file type .jpg,.jpeg,.png, allowed size: 100kb)

Call Us

Email Us

Member Registration