Membership Registration Form

S. No	Type of Members	Admission Fees(₹)	Annual Subscription(₹)
I	Founder Member	21000/-	Nil
II	Life Member	11000/-	Nil
III	Ordinary Member	1100/-	500/-
IV	Honorary Member	Nil	Nil

Your Name*

Father/Husband Name *

Date of Birth *

Qualification *

Gender *

Profession *

Phone No *

Email id *

Correspondence Address *

Permanent Address

Donation can be deposited in the following bank account

Or can be transferred online

Or you can scan QR code for transfer from mobile

[ Income Tax Registered of 80G Approved ]

AXIS BANK

HOLDER: PARYOG FOUNDATION

ACCOUNT NO: 923010047405704

IFSC CODE: UTIB0004270

Transaction Number *