KSV Nilaya - Member Register

Member Register

Type of membership

Name of the Member

Mobile Number

Email Address

Date of Birth

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Year of Exit /* * To change this license header, choose License Headers in Project Properties. * To change this template file, choose Tools | Templates * and open the template in the editor. */

Qualification

Communication Address

Permanent/Native Address

Where you are working?

Position Held

Scan to Pay

Chief Patron - ₹25000
Patron - ₹10000
Life Members - ₹3000
QR Code for Payment

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Amount Paid (₹)

Payment Reference Number

DECLARATION

I, Sri ____________ hereby declare that, I had officially stayed at KUNCHITIGARA SARVAJANIKA VIDYARTHI (KSV) NILAYA during the year ____ to ____. I agree to follow the rules, terms, and conditions of KUSAVINI BALAGA.

I swear that the above declaration is true to the best of my knowledge and belief.

I accept Terms and Conditions