Member Registration Form

Apply online to join श्री श्री महादुर्गा पूजा बाल सेवा समिति registered executive member network.

Select Membership *

Designation *

Full Name *

Gender *

Date of Birth *

Mobile Number *

Email Address *

Blood Group

Father / Husband Name *

Marital Status *

Highest Qualification *

Profession / Occupation *

Passport Size Photo *

Upload clear formal photograph (Max: 2MB, JPG/PNG).

Government ID Type *

ID Document Number *

ID Proof (Front Side) *

ID Proof (Back Side) *

State *

City / District *

Full Address *

PIN Code *

Payment Option *

UPI QR / Bank Transfer

Instant Online Payment

Official Organization Account

After transfer, enter Transaction / UTR reference number below and upload receipt screenshot.

UTR / UPI Ref Number *

Payment Screenshot *

I declare that all information provided above is true and accurate. I agree to abide by the rules and constitution of श्री श्री महादुर्गा पूजा बाल सेवा समिति.