Become Party Member

 
Name: *
Date of Birth:
Age:
Gender : *
Email Id:
Mobile No. : *
Country: *
State: *
District/City: *
Parliamentary Constituency: *
Assembly Constituency: *
Your Profession:
No. of Volunteer:
Address: *
Qualification:
Pin Code:
Id Number (Voter/Adhaar/Passport):
Would you like to volunteer ? : *
How would you like to contribute ?
  • Work in your community/mohalla
  • Join calling campaigns
  • IT support (coding, web design etc.)
  • Provide housing to volunteers
  • Policy/Research support
  • Become a digital activist
  • Become a photo/video volunteer
  • Content writing (mention preferred language below)
Would you like to tell us more about yourself ?:
I am above 18 years , and not enrolled as a government employee. I am not a member of any other political party registered with the Election Commission of India. I am not a member with any organization whose views, policies or actions are in conflict with the objective of the party. I have not been convicted of any offense involving moral turpitude. I hereby consent to receiving any communication from the party either in writing, electronically and/or in any audio-visual format via phone (including SMS/MMS), email and/or at my address.
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Allowed format jpg, jpeg, png, bmp, gif
If you can not able to upload image, then you can send your image on this whatsapp no. 7505480125 [Image Size: 232 X 213]
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