User Application Form

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HOPE WELFARE SOCIETY

Registration Form

Name * :

Gender * :

Date of Birth * :

Profession:

Blood Group *:

State * :

District *:

Mobile No. *:

Aadhar No. *:

Address *:

Pin Code *:

Email:

Profile Picture:

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Other Document

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Membership Fee - 2000/-

Bank Detail -

Bank Name : RAJASTHAN MARUDHARA GRAMIN BANK
Holder Name : Hope Welfare Society
Account No. : 0000083067397423
IFSC Code : RMGB0000280
Branch : BHANIYANA

UPI SCAN:

Payment Mode *:

Payment Receipt Upload:

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