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Ambedkar Rajaneethi Movement

Ambedkar Rajaneethi Movement is India’s Fastest growing social movement organisation. Join as member today and help to translate the objects into reality

Membership Form

Name (పేరు) *
Date Of Birth / Age (పుట్టిన రోజు) *
Caste/ Religion (Tick Any of One) ( కులం / మతం (దేనినైనా టిక్ చేయండి )*
Name of the Father/Mother/Husband (తల్లి/దండ్రుల పేరు లేదా భర్త పేరు) *
Phone 1 (ఫోన్ నెంబర్) *

Organizational Experience(in Years) (సంస్థాగత అనుభవం )
Email (ఇమెయిల్)
Gender *

Address for Correspondence (పూర్తి చిరునామా)*
Place Of Vote (ఓటు స్థలం)*
Mandal/Muncipal Ward (మండలం / మున్సిపాల్ వార్డ్): *
Assembly Constituency (అసెంబ్లీ నియోజకవర్గం): *
Parliamentary Constituency (పార్లమెంటరీ నియోజకవర్గం): *
How Do You Know Us *

Referral name: *
All payments are received into the account of "Ambedkar Rajaneethi Movement" with for Joint Action for communities
(అన్ని చెల్లింపులు JAC తో "అంబేద్కర్ రజనీతి ఉద్యమం" ఖాతాలోకి స్వీకరించబడతాయి)
Donate (దానం)
Are You Interested in securing political power to Bahujans(Master Key) (బహుజనులకు రాజకీయ అధికారాన్ని దక్కించుకోవటానికి మీకు ఆసక్తి ఉందా (మాస్టర్ కీ)): *
Yes (అవును)
No (కాదు)
Are you like to Associate in Supplementary Sections/ఏదైనా అనుబంధ విభాగాలలో భాగస్వామ్యం అవుతారా? *
Yes (అవును)
No (కాదు)
Are you in contest in elections? (మీరు ఎన్నికలలో పోటీ చేయాలనుకుంటున్నారా ?) *
Yes (అవును)
No (కాదు)
Would you like to tell us more about yourself? (మీ గురించి మాకు మరింత చెప్పాలనుకుంటున్నారా?)*
Undertaking :
I hereby undertake that,I will follow the rules and regulations of the organisation and strive hard for translating the objects into reality. I do state that I can further dedicate to strengthen the organisation. I shall relinquish the membership or the portfolio when ever failed on attending to the activities,so as to facilitate others to continue the work.
Privacy policy :
The Personally Identifiable Information will not be revealed to any outsider ( A person other than Employee, Top Management and Governing Body). Only Summarised information, stripped of Personally Identifiable Information, may be made publicly available.
Personally Identifiable Information may only be revealed with the permission or ratification, of the Individual to whom the Personally Identifiable Information pertains.

Refund Policy :
The amounts received through this Website and the Payment Gateways linked to this Website are Corpus (fund for continued maintenance) and are thus non-refundable.

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