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REGISTRATION FORM

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Please correct the following registration issues:

Secure Registration

Personal Details

Name *

Father's Name *

Date of Birth *

Phone No *

WhatsApp No *

PAN No *

ID Proof (Choose Any One) *

Specify Other ID Type *

1. Education Qualification (Optional)

एक या अधिक विकल्प चुनें

Other Qualification Spec:

🙏

2. Religion *

👥

3. Caste *

💼

4. Experience *

Any Criminal Record? *

If Yes, Reason *

Objective of inclusion with VGRT *

Address Details

Full Address *

District *

Block *

State *

Pin Code *

Passport Photo *

Signature *

PAN Card

Required

*

Required

*

Education Cert.

File requirements: All uploads must be under 5MB. Allowed formats: JPG, PNG, PDF. — Aadhaar Card requires both front and back sides.

Designation & Membership

Choose Any Designation *

₹

Membership Fees

(Inclusive of all applicable taxes)

Select Duration (Years) *

1 Year

Valid for 1 Year

5 Years

Valid for 5 Years

Payment Mode *

CASHFREE

Credit, Debit, Netbanking, UPI

Secure & Safe Payment

You will be redirected safely to Cashfree secure payment gateway to finalize and verify your registration transaction.

I declare that all entries recorded above are true, and I happily comply with the organizational charter policies of Vishwa Gauraksha Trust.

Review Your Application

Vishwa Gau Raksha Trust

Regd. Office • Bichpuri Kheda Adhiyapur, Etawah,
Uttar Pradesh 206002, India

Membership Form

Applicant Name

Designation:

Duration:

Fee:

Payment:

1. Personal Details
Father's Name		Date of Birth
Phone		WhatsApp
PAN No

2. Background & Eligibility
Religion		Caste
Experience		Criminal Record
Education
Objective

3. Postal Address
Street
District / Block		State / Pin

I declare that all entries recorded above are true, and I happily comply with the organizational charter policies of Vishwa Gauraksha Trust.

Applicant's Signature

Authority Signature

For Vishwa Gau Raksha Trust