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सनातन संसार मंच लोगो

Sanatan Sansar Manch

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C/O Madhusudan Shahi, Village: Nisania Paikauli, Near Raj Rajeshwari Maa Kamakhya Mandir, Post Office: Bhingari Bazar, District: Deoria, Uttar Pradesh - 274702

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SANATAN SANSAR MANCH

HUMANITY IS OUR RELIGION, EQUALITY IS OUR DUTY

MEMBER REGISTRATION FORM
हिंदी में भरें
Reg. No.: SSM/............
Date:  02/11/2026
1. PERSONAL INFORMATION
Full Name (as per ID Proof) *
Father's / Guardian's Name *
Date of Birth *
Gender *
Marital Status *
Nationality *
Mobile Number *
Email ID *
Aadhaar Number (12 Digits)
2. ADDRESS DETAILS
House / Flat / Building / Village *
Street / Post Office *
State * District *
City / Town * PIN Code *
3. IDENTITY AS MEMBER (AS PER OUR PRINCIPLE)
Title / Designation (Upadhi)
BHARAT
Religion (Dharma)
SANATAN (HUMANITY)
Caste (Jati)
SANATAN
4. OTHER INFORMATION
Occupation / Profession *
Educational Qualification *
Blood Group * Interested In (Area of Work) *
Skills / Expertise (If any)
5. DOCUMENTS ATTACHED (Please Select One)
* Only one document is required to be selected and uploaded
Important: If your document (PDF) is password-protected, it will NOT be accepted. Please remove password protection before uploading, or upload an image (JPG/PNG).
DECLARATION
Signature Preview
Signature of Applicant *
(Recommended Size: 300x100 pixels)
Head Office:
C/O Madhusudan Shahi, Village: Nisania Paikauli, Near Raj Rajeshwari Maa Kamakhya Mandir, Post Office: Bhingari Bazar, District: Deoria, Uttar Pradesh - 274702
support@sanatansansarmanch.in
www.sanatansansarmanch.org
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