Veterans India

New Registration Membership Form

Select Wings *

Type of Membership*

Membership Amount *

First Name *

Last Name *

S/O, D/O, H/O, W/O *

Gender *

Date of Birth *

Email Id *

Mobile Number *

Address *

District

State

Parliament Constituency *

Legislative Assembly *

Self Image*(max 300 kb)

Category *

Pan Card Name*

Pan Card Number*

How can you support the Organization?

Your expectations from the Organization?

I accept all terms & conditions and have read and understood the View Constitution and I will remain abide by. The information given above by me and true to the best of my knowledge and belief. If found inappropriate my membership in any level with vi will be disqualified.

New Registration Membership Form

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