Aaharam's ID Card - Data Entry
This form is to fill up all the details with no false details. Members possesing this ID card can use for benefits in our Aaharam / Food / Venira Outlets only for a flat discount of 5% at any time of Purchase. This is would ease members on longer run. Misuse of this card would lead to banning of members and initiate legal proceedings on the member. This card is valid for 5 years ONLY from the Date of issue.
I am a
My Name is
(Please write your initials at the last. Only first letter Capital and all other letters small letters only)
My Active Mobile Number is
(Just write 10 digit mobile number only. People living abroad are to furnish Indian number only)
My Aadhar Number is
Write your 12 digit Aadhar Number only.
I am a Proud to say that I am a
Say loudly if you are loved to be religious
Here is my Working Mail ID
Provide only active email ID only. Please note any mail sent from Aaharam & bounced back, database would be deleted
Give full Indian Postal Address only. People living abroad, are to furnish Indian address only)
Here is my Photo Uploaded
Please upload your Photo. Max 1Mb size only. Only JPEG format. Take care that once you upload picture, it cannot be altered or deleted. Set PHOTO name to your Name given in the field above and Upload.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service