MEMBERSHIP REGISTRATION

Name *
DATE OF BIRTH *
Gender *
BLOOD GROUP *
NATIONALITY *
MARITAL STATUS *
OCCUPATION / PROFESSION *
Phone *
Email *
Address *
PROPOSED BANNER NAME *
POSITION IN ORGANIZATION *
AADHAR CARD *

Max file size (Mb): 2

Max number of files: 1

PAN CARD *

Max file size (Mb): 2

Max number of files: 1

PASSPORT SIZE PHOTO *

Max file size (Mb): 2

Max number of files: 1

NOMINEE NAME *
NOMINEE RELATIONSHIP WITH THE APPLICANT *
DATE OF BIRTH *
NOMINEE'S ADDRESS *
NOMINEE'S AADHAR CARD *

Max file size (Mb): 2

Max number of files: 1

NOMINEE'S PAN CARD *

Max file size (Mb): 2

Max number of files: 1

NOMINEE'S PHOTO *

Max file size (Mb): 2

Max number of files: 1

PAYMENT SCREENSHOT *

Max file size (Mb): 2

Max number of files: 1

TRANSACTION REF NO. *