HG Membership Application Form

Member Name

First Name

Middle Name

Last Name

Father/Husband Name

First Name

Middle Name

Last Name

Date of Birth

Gender

Marital Status

Email ID

Registered Mobile No

Whatsapp No

Nationality

Pan No.

Aadhar No

Religion

Occupation

Nominee Details

Nominee Name

Aadhar/Passport No.

Relation

Photo (Max 50KB)

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Signature (Max 50KB)

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Aadhar Card (Max 200KB)

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Pan Card (Max 200KB)

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Nominee Aadhar/Passport

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