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Membership Registration Form
Mandatory Fields
Profile Image *
First Name *
Last Name *
Final Class Attended *
Select an option
12th
11th
10th
9th
8th
7th
6th
5th
4th
3rd
2nd
1st
Batch *
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Email *
Phone Number
🇮🇳 +91
City *
Country *
Blood Group *
Select Blood Group
A+
A-
B+
B-
O+
O-
AB+
AB-
Optional Fields
Gender
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Male
Female
Other
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Age
Higher Education Info
Current Job / Designation
Company / Organisation
LinkedIn Profile URL
Facebook Profile URL
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Choose Package & Payment
Select Package *
-- Choose --
Membership / ₹1000 / 2 Yr
Lifetime Membership / ₹5000 / 100 Yr
Select Document *
-- Choose Document --
Mark Sheet
TC
ID Card
No Document
Upload Document (PDF/Image) *
Select Payment Method *
-- Choose --
Bank Transfer
UPI QR
Payment Gateway
Enter Amount *
Account Name: VSSS ALUMNI
A/C No: 44091068919
Swift Code: SBININBB292
IFSC: SBIN0004675
Bank: SBI
Transaction ID *
Upload Reference Document *
Transaction ID *
Upload Reference Document *
