Member Apply

Apply for Membership

Submit your application and join our volunteer network for rural education, health, and community service.

Membership Application Form

Name *

Gender

Date of Birth *

Relation Type

Relation Name

Profession

Blood Group

State *

District *

Mobile No. *

Aadhar No.

Pin Code *

Address *

Block

Select Your ID

Document Type

ID Number

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Profile Picture:

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A fixed ₹21 membership charge is required to activate your membership.

₹21

Payment Mode *

Payment Receipt *

Upload the receipt for the ₹21 payment.