Membership Form

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Membership Form

Description

Full Name *

Phone *

State and UTs *

District

Voter ID

I accept the membership Terms and Conditions & Constitution as specified in the constitution of Proutist Bloc, India (PBI). I am above 18 years of age and not a member of any other Political Party. I agree to be communicated to by the party via phone, SMS, email and other means.

Yes

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