ACTIVE RURAL SOCIAL PROGRESS

ONLINE MEMBERSHIP REGISTRATION

Personal Information

Full Name *

Father's Name

Mother's Name

Gender *

Date of Birth

Blood Group

Occupation

Nationality

Joining Date *

Contact Information

Mobile Number *

Email Address

Address Information

Full Address *

District *

State *

PIN Code *

Identity Verification

Identity Proof *

Identity Number *

Identity Proof (Front) * Upload the front side of the selected identity proof.

Identity Proof (Back) Upload the back side if your document has one.

Note: Please upload clear and readable identity documents. Blurred or incomplete documents may result in rejection of your membership application.

Photograph

Passport Size Photograph *

Declaration

I hereby declare that all information furnished by me is true and correct to the best of my knowledge. I agree to abide by the Constitution, Rules, Regulations and Code of Conduct of ACTIVE RURAL SOCIAL PROGRESS . If any information submitted by me is found to be false, my membership may be cancelled.

I accept the declaration and certify that the information provided is correct.