Dr. Ambedkar Anusuchit Jati Adhikari-Karmchari Association, Rajasthan

Basic Details

Name *

Father's/Husband's Name

Date Of Birth

Qualification: *

Post *

Department *

Gender
Male Female

Date Of Joining:

Date Of Retirment:

Permanent Address:

Home District

Membership District

Tehsil

Registration Fees
Guardian Members Rs 25000 Lifetime Members Rs 5000 Annual Members Rs 1000
(Besides,all the members have to contribute Rs 500 annually to secure voting rights)

Office No (With STD Code)

Whatsapp No

Mobile No *

Pin Code *

Profile Picture

Agree with all Terms & condions For Registrations.

Registration Form