User Application Form

ए. सी. बी. सार्वजनिक ट्रस्ट

Registration Form

Name * :

Gender * :

Date of Birth * :

Profession:

Blood Group *:

Mobile No. *:

Aadhar No. *:

Qualification *:

State * :

District *:

Address *:

Pin Code *:

Email:

Profile Picture*:

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Upload Bank Passbook*:

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Other Document

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Nominee Name *:

Nominee DOB *:

Nominee Aadhar No. *:

Relation With Nominee *:

Nominee Qualification *:

Upload Nominee Passbook *:

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Membership Fees - ₹ 3131/-

Bank Detail -

Account Name - ACB SARVAJANIK TURST
ACCOUNT NUMBER - 7441002100000795
IFS Code - PUNB0744100
CURRENT ACCOUNT
BARNCH - GHOSI MAU UTTAR PRADESH 275304

UPI SCAN:

Payment Mode *:

Payment Reciept Upload:

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