Member Registration form

Full Name*

Father Name*

Mobile Number*

Email ID*

Password*

Whatsapp Number*

Aadhar Number*

Profession/Occuption*

Educational Qualification*

Date Of Birth*

Blood Group*

Gender*

Male Female Other

Photo*

(PHOTO SHOULD NOT EXCEED 50KB)

Aadhar card*

(AADHAR SHOULD NOT EXCEED 50KB)

Address*

Country:

State:

District:

pincode:

Are you convicted in any court of law?

Yes No

Have you Ever worked in student union/Trade union? Student unions

Yes No

Trade unions

Yes No

Signature*

(SIGNATURE SHOULD NOT EXCEED 20KB)

Human Rights Cell-Registration Form