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STEP-1
Name:_   
Father's_Name:
Date_of_Birth__ Day  _Month  _Year   dd/mm/yyyy
Year_in_School:_From_   to_     ____ ______ Class_Passed :  
Mobile_No:_
Present_Qualification:_
Designation:_
Office_Address:_
Phone:Office_Telephone(s):PBX:(STD)_
Fax:_  Email:  
 
Residence_Address:_
Residence_Telephone(s):(STD)_
Spouse_Name:
Date_of_Marriage:_ Day  _Month  _Year   dd/mm/yyyy
Name(s) of Son(s):_
Name(s) of Daughter(s):
Blood_Group:
Upload_Old_Picture:_
Upload_New_Picture:_
User_Name:_    __
Password:___    __ Compare_Password:_    
STEP-2
Life time membership fees
INDIA_________Rs.2000/-
Other Countries__100 USD
or convert into equivalent value of your currency
Amount:__  
Payment__made__on:  
 dd/mm/yyyy
Payment__made__by:  



 
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