PSF Membership Form

हिन्दी

I hereby apply for Plurals Student Federation. My particulars are given below:

Mobile Number *

Contact number is required. Enter valid mobile number

Full Name *

Full name is required.

Gender *

Date of Birth *

Mother's/Father's Name *

Father/Mother name is required.

Address *

Address is required.

Pincode *

pincode is required. Invalid pincode

Email ID *

Email id is required. (Invalid email)

WhatsApp Number *

required. Enter valid mobile number

same as of mobile number given above

State *

District *

School/College/University *

required.

Coordinator Reference No

Please mention mobile no of the person who referred you. Enter valid mobile number

Declaration :

I am above 14 years.

I hereby declare I am citizen of India.

I have full faith of party's objective and vision and undertake to abide by the Constitution, Rules and Discipline of the Party.

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.

The particulars and statements made above are correct to the best of my knowledge and nothing has been concealed or withheld.

I am herewith paying Rs. 5.00 (FIVE RUPEES ONLY) to The Plurals Party, as non-refundable membership fee