Membership Form

Membership Registration Form -

First Name

Gender *

Highest Qualification *

Username *

Last Name

Date of Birth *

Phone Number *

User Email *

User Password *

Select State *

Full Address *

/100 characters

Please enter Full address including House No, Street, PO, PS, State, Country, Pincode and any other important nearby location

Upload Scan Form

Drop your file here or click here to upload You can upload up to 1 files

Add Appliation Form

Upload Pan Card/Voter ID

Drop your file here or click here to upload You can upload up to 1 files

Add you PAN Card or Voter ID (Must Contain Front and Back)

Membership Type

Confirm Password *

City *

Select Category *

Upload Payment Recipt

Drop your file here or click here to upload You can upload up to 1 files

Please add the payment screenshot

Upload Aaadhaar Card

Drop your file here or click here to upload You can upload up to 1 files

Add you Aadhar Card (Must Contain Front and Back)

Account Details for Direct Payment –

Account Number -7249242867

Bank Name -Indian Bank

IFSC -IDIB000b585

Paying To –RASTRIYA MANVADHIKAR EVAM SAMAJIK NYAY SANGH