User Application Form

SHIRTHO EDUCATION & SPORTS FOUNDATION

Registration Form

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Referrer Name:

Name * :

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Date of Birth * :

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Mobile No. *:

Aadhar No. *:

Address *:

Pin Code *:

Email:

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Other Document

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Membership Fee - 1200/-

Field Officer fees- 1500/-

District Manager - 5000/-

State H - 15000/-

Bank Detail -

Holder Name: SHIRTHO EDUCATION AND SPORTS FOUNDATION
Account Number: 41674011192
IFSC Code: SBIN0004798

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