Bhumi Sena Foundation

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Membership Form

MemberShip Type *

Lifetime

Youth / Active Volunteer

Core Member

Name *

Father’s Name / Husband Name *

Date Of Birth *

Adhar card number / Voter Id card Number

Village \ City *

District with Pin Code *

State *

Phone number *

Caste *

Kurmi (Patel)

Kushwaha (koeri)

Yadav

Other OBC

General

Others

Other:

Political Views *

Congress

JDU

RJD

BJP

Others

Other:

Occupation

Declaration:-
*

I, the undersigned, declare that the information provided above is true and correct to the best of my knowledge. I agree to abide by the rules and values of Bhumi Sena Foundation and contribute positively to its objectives.

Required

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