Membership Registration Form
Youth can play a vital role in making our India's future better - Join us & serve the nation.

The average time taken to fill this form is 5 minutes. No prizes for people who finish fast, so take your time & fill all the fields.

Thanks and meet you at the end of the form!

Name *
Enter your name.
Your answer
Father’s Name *
Enter your father’s name.
Your answer
Date of Birth *
Enter your date of birth.
MM
/
DD
/
YYYY
Sex *
Profession *
Select any one of them.
Educational Background / Course *
Enter your educational qualification.
Your answer
Contact No. *
We will be contacting you on this contact number, so please share the one that you will be using.
Your answer
WhatsApp No. (if any)
There will be a complete secrecy of girl's contact details only few authorized persons will contact you.
E-mail address *
Enter your Mail ID on which we can send you the important mails.
Your answer
Address *
Enter your complete address.
Your answer
Blood Group *
Enter your blood group.
Your answer
Whether you want to donate the Blood in future? *
Would you like to be a *
In Volunteer section you have to make physical efforts & have to complete tasks given by us. In Member section you have to donate a particular amount every month whatever you will choose from the given list. In Sponsor section you have to pay atleast 15% of total cost of any one program.
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