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AJSU Youth Wing
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Become a Member — AJSU Youth Wing
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are required.
1
Personal & Contact Details
Title / संबोधन
Select
Mr.
Mrs.
Ms.
Shri
Smt.
Dr.
Full Name / नाम
*
Sex / लिंग
*
Male / पुरुष
Female / महिला
Other / अन्य
Father's Name / पिता का नाम
*
Date of Birth / जन्म तिथि
*
Email / ईमेल
Mobile No. / मोबाइल नंबर
*
WhatsApp No. / व्हाट्सएप नंबर
Occupation / व्यवसाय
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Business
Daily Wage Labour
Farmer
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Homemaker
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Social Worker
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Teacher
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Other
Education / शिक्षा
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Below 5th
Below Matric
Matric / 10th
Intermediate / 12th
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Specify occupation / व्यवसाय बताएं
Specify education / शिक्षा बताएं
Photo / फोटो
JPG/PNG/WEBP, under 1 MB.
2
Address
State / राज्य
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Jharkhand
Odisha
West Bengal
District / जिला
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Sub-Division / अनुमंडल
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Area Type / क्षेत्र प्रकार
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Rural / ग्रामीण
Urban / शहरी
Block / Prakhand / प्रखंड
*
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Panchayat / पंचायत
*
Select Block First
Nagar Nikaya / नगर निकाय
*
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Village / Mohalla / गाँव / मोहल्ला
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Ward / वार्ड
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Landmark / नज़दीकी स्थान
Pincode / पिनकोड
*
3
Membership & Payment
AJSU Youth Wing membership fee:
₹11
(fixed)
Scan with any UPI app to pay
₹11
Transaction ID / UTR No. / लेन-देन आईडी
*
Notes / टिप्पणी
I confirm the details entered above are correct, and I consent to AJSU PARTY storing this information for membership records.
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