Members Registration Form First NameMiddle NameLast NameFather's NameWife's NameEmail *Blood GroupNative PlaceShashanGotraDate of BirthD/O/BEducation/QualificationBusinessBusiness (Office) Name & Address Of the work place M/SZIP / Postal CodePhone/MobileEnter Your Contact NumberEmail AddressEnter Your Mail IdResidence AddressEnter Your Residance AddressZIP / Postal CodeUpload fileChoose FileNo file chosenDelete uploaded fileUpload Your PictureFamily Member's Details Name- Age/Birth Date- Relation with member- Father/Husband Name- Education/Qualification- Married/unmarried-Enter Your Family Details Register Payment Details (Patron Membership Rs 21,000/=,Life Membership Rs 2100/=)