| रेजिस्ट्रेशन करने से पहले ठीक से नियमों को जान लें-- |
| Name * |
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| Fathers name (with surname)* |
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| Mothers name (with surname)* |
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| Password* |
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| Re-Enter Password* |
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| "Qualification", University/Organization:* |
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| Preferred Mailing Address:* |
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| Religions* |
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| Cast* |
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| Sub Cast* |
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| Country* |
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| State/Province* |
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| City* |
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| Zip/Postal Code* |
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| Telephone |
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| Mobile no. * |
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| Email* |
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| Date of Birth * |
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| Time of Birth * |
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| Birth Place* |
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| Gender* |
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| Marital Status* |
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| Category* |
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Choose Donour group(डोनर ग्रुप- A ग्रुप 100%, B ग्रुप 10%, C ग्रुप 1% एवं D ग्रुप ऐच्छिक दान करने वाले चुने)
Please write donation mode (DD/Cheque/ netbanking), mode number, amount, date of transaction and mention total amount of your asset value with monthly income. |
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| Write About Yourself:* |
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| Your Face Photograph (only png, jpg) * |
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| ID Proof Front/Photo side (Adhar Card/Passport/Ration Card/Driving Licence in only png, jpg) * |
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| ID Proof Back/Address side (Adhar Card/Passport/Ration Card/Driving Licence in only png, jpg) * |
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