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Official Member Registration Portal
Registered Under Government Guidelines

Member Registration Application Form

Important Instructions:

• Please fill all mandatory fields marked with *
• Ensure all information provided is accurate and verified
• Upload clear and legible documents only
• Payment will be processed through secure Razorpay gateway
• Your registration will be subject to admin approval

Membership & Plan Information
Choose your preferred membership plan
Personal Information
Name should match with Aadhaar card
Format: DD/MM/YYYY
Address Information
Include house number, street, locality, etc.
6 digit postal code
Contact Information
10 digit mobile number (will be used for login)
Leave blank if same as mobile
Optional - for notifications
Identity & Verification Documents
12 digit Aadhaar number (without spaces)
10 character PAN (e.g., ABCDE1234F)
Nominee Information
Nominee information is optional but recommended
Document Uploads
Upload clear image/PDF of Aadhaar front side (Max 5MB)
Upload clear image/PDF of Aadhaar back side (Max 5MB)
Recent passport size photo (Max 5MB, JPG/PNG)
Scanned signature (Max 5MB)
Upload payment receipt if available (Max 5MB)
Note: Ensure all documents are clear, legible, and in proper format. Blurry or unclear documents may lead to rejection.
Payment Information
Select your preferred payment method
Our Welfare Yojana

Select the Yojana(s) you wish to enroll in. You can select multiple Yojana.

Yojana selection is optional. You can select multiple Yojana based on your needs.
Your data is secure and encrypted