નમસ્તે, we are happy to have you onboard Thank you for your interest in becoming a life member of the Mandal. Please fill out the short form. "*" indicates required fields 1Basic Info2Family Details3Review4Pay Name* Prefix Dr.Mr.Mrs.Ms.Prof. First Last Email* Mobile*WhatsApp preferredDOB* Day Month Year Profession*AdvocateArchitectArtistBusiness/IndustrialistCharted AccountantDoctorEngineerInterior DecoratorJournalistProfessorServiceTeacherOtherUpload Photo* Drop files here or Select files Accepted file types: png, jpg, jgeg, Max. file size: 15 MB, Max. files: 1. 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Learn more about our Volunteer Initiative.YesNoAreas of interest* Cultural and Entertainment Sports Medical Camp Short Trip Planning Women Empowerment Small Business and Entrepreneurship Tech Support Legal and Financial Services Children Activities (under 12) Youth Activities (under 40) Senior Activities (over 65) Marketing and Public Relations This field is hidden when viewing the formScholarshipQualifying pupils are eligible for scholarship grantsThis field is hidden when viewing the formChildrenNameGrade Add RemoveThis field is hidden when viewing the formSpouse Name First Last This field is hidden when viewing the formChild 1 Name First Last This field is hidden when viewing the formChild 2 Name First Last {all_fields} Mode of Payment* Online – Card/UPI/NetBanking Offline – Bank Transfer Offline – Cheque Online PaymentRedirection to payment gateway after clicking “Submit”Bank TransferSettle your payments through Electronic Funds Transfer (NEFT/RTGS/IMPS). Make sure to use the following details while remitting payments.Payee NameShri Dakshin Delhi Gujarati MandalBank NameIndian BankBranchHauz Khas, New DelhiAccount #857932201IFSCIDIB000H019Amount₹2500UTR No.*Please provide the Unique Transaction Reference of the transaction.ChequeYou can physically handover your cheque to any member of the Executive Committee or mail at any of the given below address.Payee NameShri Dakshin Delhi Gujarati MandalAmount₹2500Registered AddressMr. Mahendrabhai Patel51-B, Vijay Mandal EnclaveHauz Khas, New Delhi – 110016IndiaWorks AddressMr. Manoharbhai Gujrati51-B, Vijay Mandal EnclaveHauz Khas, New Delhi – 110016IndiaCheque Redemption Physically handed over Posted/Mailed Cheque No.*Bank Name*This field is hidden when viewing the formConsent SectionConsent* I have read and agree to all points below.• I acknowledge that the Mandal will review my membership application and that the fees are non-refundable and membership is non-transferable. • I certify that the information I have provided is accurate to the best of my knowledge. 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