New Membership Name of The Member *Father's Name *Date of Birth *Mobile No.(Self) *Whatsapp Mobile No.(Self) *Residential No.(Mobile/Land) *Email Address *Blood Group *Marital Status *MarriedUn-marriedPresent Address *Permanent Address *Name of the Employer *Address of The Employer *HQ/Place of Posting *Designation *Nature of Job *Under Which Local Committee Subscription Taken *SiliguriBurdwanKolkataMember at Any Other Organization *YesNoI do hereby declare that the above statements are true to the best of my knowledge and belief. Also I shall abide by the rules and regulations of your Organisation. *AgreeDisagreeUpload Your Payment Screenshot Here *Choose FileNo file chosenDelete uploaded fileSubmit
