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Mitra Mandal Bengaluru Details Update
This form is for Life and Annual members of Mitramandal Bengaluru to maintain the database. Please update the below information to stay updated.
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* Indicates required question
Email
*
Your email
Email Address of Spouse (पती/पत्नीचा ई-मेल )
Your answer
Full Name [LAST NAME, FIRST NAME, MIDDLE NAME]
*
Your answer
Name of Spouse [पत्नीचे/ पतीचे नाव]
Your answer
Full Address [संपूर्ण पत्ता]
*
Your answer
Mobile Number 1 /Whatsapp number [भ्रमणध्वनी १]
*
Your answer
Mobile Number 2 /Whatsapp number [भ्रमणध्वनी २]
Your answer
Company Name & Designation [व्यवसाय नाव व हुद्दा]
*
Your answer
Company Name & Designation of Spouse [पती/पत्नी व्यवसाय नाव व हुद्दा]
Your answer
Birthdate [जन्मतारीख]
MM
/
DD
/
YYYY
Birthdate of Spouse[पती/पत्नी यांची जन्मतारीख]
MM
/
DD
/
YYYY
Membership Type
*
Life Member
Annual Member
Special Annual Member
Membership Paid by
*
Online BankTransfer
Cash
Paytm Transfer
If paid online, transaction ID
Your answer
Year of membership taken
*
Your answer
Blood Group [रक्तगट]
Your answer
Facebook A/C to send FB notifications
YES
NO
Clear selection
Updates on SMS
Yes
No
Clear selection
Updates on WhatsApp
Yes
No
Clear selection
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