User Application Form

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अखिल भारतीय विधवा दिव्यांग संघ महिला सुरक्षा सेना

Registration Form

Name * :

Gender * :

Date of Birth * :

Profession:

Blood Group *:

State * :

District *:

Mobile No. *:

Aadhar No. *:

Address *:

Pin Code *:

Email:

Profile Picture:

Upload

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Other Document

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Membership Fee - 251/-

Bank Detail -

A U SMALL FINANCE BANK
C/A NO. : 2502254965781954
IFSC CODE : AUBL0002549

UPI SCAN:

Payment Mode *:

Payment Receipt Upload:

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