श्री गोधाम महातीर्थ पथमेड़ा लोक पुण्यार्थ न्यास | श्री गोधाम महातीर्थ पथमेड़ा लोक पुण्यार्थ न्यास

1

Applicant Information

Member Name *

Father's / Husband's Name *

Date of Birth *

Gender *

Gotra

Blood Group

Mobile Number *

Email

PAN Number

Aadhaar Number *

Marital Status

Proposer Name (हस्ते)

Proposer Mobile Number

Date of Marriage

1A

Family Member Details

Name

Gender

Date of Birth

Relation

Date of Marriage

2

Residential Address

Address Line 1 *

Address Line 2

Address Line 3

Village

City

District *

State *

Country *

Pin Code *

3

Business / Organisation / Profession Information

You are *

Business / Organisation / Profession

House Wife

4

Document Upload

Aadhaar Card

Upload

PAN Card

Upload

Upload Photo

Passport-size photo.

Upload Photo

Supporting Documents

Upload

5

Digital Signature

Declaration- The contribution made by applicant is voluntarily and shall be part of the corpus fund for the organization.

I hereby declare that all information provided is true and correct.

मैं नियमित वार्षिक गोसेवा में गोग्रास अंशदान देने की सहर्ष स्वीकृति प्रदान करता हूँ/करती हूँ।