Membership Application Form

Name

Father name

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Gotra

Date of birth

Mobile Number

Email ID

Occupation

Membership type

Custodian (Rs21000 one time)	Donor (Rs11000 one time)
Lifetime (Rs500 one time)	Ordinary (Rs50 valid upto 31-Dec-2024)

Present Address

H No./Plot No.(*):

Address(*):

City/Tehsil

District

State

Pincode

Permanent Address My Permanent Address and present address are same

H No./Plot No.(*):

Address(*):

City/Tehsil

District

State

Pincode

Proclamation - I want to become a member of Akhil Bharatvarshiy Dahima (Dadhich) Brahaman Mahasabha (Reg.) (Soc. Act 1860 Reg. No. 1/1945-46) in the application form. I believe in the objectives mentioned in the constitution of the Mahasabha and I pledge to respect and implement from time to time the Mahasabha and provincial resolution or decisions related to it.

Note: You will get your login id and password on your email-id once your profile is approved by admin.