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Membership Application
Name
*
Father / Husband Name
Date of Birth
Age
Gender
Select Gender
Male
Female
Transgender
Other
Blood Group
Select Blood Group
A+
A-
B+
B-
AB+
AB-
O+
O-
Bombay Blood Group (hh)
Educational Qualification
Occupation
Residential Address
District
Pincode
Mobile Number
*
WhatsApp Number
Email ID
Aadhaar Number
Aadhaar format and checksum will be validated.
Applicant Photo
JPG, PNG or WEBP only. Maximum file size: 5 MB.
I hereby declare that the information provided in this application is true and correct. I agree to follow the aims, rules and regulations of the Trust. I understand that membership is subject to verification and approval by the Trust administration.
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