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समता आन्दोलन समिति (पंजीकृत) जयपुर -:: सदस्यता आवेदन-पत्र ::-
Respected Sir/Madam, Kindly join with us for building a really egalitarian (Samtawadi) India. These are two types of membership- (1) Active Member – One time 1100/- rupees. Refundable after 10 years without interest. Member will be eligible to vote or hold any post in the organization. (2) Wellwisher Member- one time 100/- rupees non refundable. Member will be eligible to hold any post in any executive body excluding the post of President. Both type of membership fees will be kept safe in fixed deposits, only its interest can be spent for organizational expenses. Thanks. Regards
Member Category:	*	-- Select -- Well Wisher Member Active Member
पूरा नाम / Full Name	*
पिता/पति का नाम / Father/Husband Name
वर्तमान पता (जिला,तहसील,पिनकोड सहित) / Present Address
स्थायी पता / Permanent Address
पिनकोड / Pincode
State	*	-- Select -- Rajasthan Chhattisgarh Uttarpradesh Uttrakhand MADHYA PRADESH NEW DELHI CHANDIGARH BIHAR HARYANA KERLA KOLKATA GUJRAT MAHARASHTRA KARNATAKA TAMIL NADU ANDHRA PRADESH ODISHA ANDHRAPRADESH PUNJAB JAMMU & KASHMIR Telangana Add New
Division   *		Add New
जिला / District   *		Add New
तहसील / Tehsil	*	Add New
व्यवसाय/नौकरी का पूरा विवरण / Bussines/ Services Full Details
स्थायी फोन नम्बर (एसटीडी कोड सहित) / Phone No. With STD Code
मोबाईल नम्बर / Mobile No.   Enter Mobile No.
Email ID  Enter Email Id (Invalid email)
सदस्यता शुल्क विवरण / Member Fee Details	(Rs.)	1100 100