NIRADHAR SEVA SADAN FOUNDATION

OMKAR ROW HOUSE NO. 8 CHS PLOT NO .5.6.7.8 1. OPP KRISHNA VANDANA CHS USALI ROAD VICHUMBE NEW PANVEL 410206.
East NEW MUMBAI DISTRICT RAIGAD MAHARASHTRA

Regd. No. CIN - U85300MH2022NPL378179
PAN No - AAICN1169Q , 12A - AAICN1169QE20218 , 80G - AAICN1169QF20224 , CSR - CSR00024120

Contact No.: +91 7309211129 | +91 8422800171

WhatsApp No.: 918422800171 Email: niradharsevasadanfoundation@gmail.com

Membership Application Form

We welcome you to become a member of Niradhar Seva Sadan Foundation. Kindly fill up the following details for membership.

Full Name: Mr./Ms./Mrs*

Father's/Husband's Name*

DOB*

Gender*

Member Type*

Phone*

Email*

Permanent Address*

Pin Code*

Present Address*

Pin Code*

Occupation*

Educational Qualification*

Blood Group

Religion*

Nationality*

If, previously associated with any NGO / Organization.

Yes

If Yes, NAME of NGO/Organization

Photo* (max file size : 2mb)

Sigin* (max file size : 2mb)

AADHAR/PAN/DRIVING LICENCE or any Govt. ID proof* (max file size : 2mb)

Upload Blood Group Certificate (max file size : 2mb)

Reason for joining the NGO*

Area(s) of Interest

Education

Health

Environment

Women Empowerment

Child Welfare

Other

If Other (please specify)

Password*

Confirm Password*

Declaration

I declare that the information provided by me in this membership application form is true, complete, and accurate to the best of my knowledge and belief.
I understand that the acceptance of my membership is subject to approval by the governing body of Niradhar Seva Sadan Foundation.
I agree to abide by all the rules and regulations of the organization and to work towards the furtherance of its goals in a constructive and cooperative manner.
I understand that my membership may be terminated if any information provided is found to be false or if I fail to adhere to the organization's rules and code of conduct.

I have read and understood all the above rules and I am joining this organization on my own responsibility. No one has pressured me mentally or physically.