Step 1 of 8

How To Fill This Form

Basic Details

  • Full Name — Enter as per official records.
  • Date of Birth — Must be accurate.
  • Mobile Number — Primary contact. Cannot be changed later.
  • Is WhatsApp — Toggle Yes if the number has WhatsApp enabled.
  • Alternate Mobile — Optional.
  • Email — Used for communication and updates. Ensure you share correct one.
  • Gender & Blood Group — Required.
  • Profile Photo — Upload a clear passport-style photo (3:4).

Address

  • Current Address (Baroda) — Required for zone mapping.
  • Kerala Address — Optional. Enable only if applicable.

Professional Details

  • Occupation — Student / Business / Job / etc.
  • Organization & Designation — If working.
  • Work Location — City or place of work.

Education

  • Qualification — Highest completed qualification.

Family Details

  • Add immediate family members.
  • Include Name, DOB, Relationship, and Status.

Interests & Participation

  • Select areas of interest (Arts, Sports, Social Service, Events).
  • Choose if you are willing to volunteer.
Please ensure all details are accurate before submission. Some fields cannot be edited later.
If you are an existing member, kindly click here to review/update your membership details.

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