Padmashali Samaj Seva Sangh - a informational portal for padmashalis.

Membership Directory

Membership Form

Member Seacrh

Details of Membership:

Life Time Membership:
Patron Member:
Well Wisher Member:
Grand Patron Member:

Membership Form:

Category of Membership:

Regd. No.:

Membership fee:

Single

Couple

Personal Details:

Full name of the Applicant:

Date of birth:

Qualifications:

Residential address:

Telephone number (Home):

Zip Code:

Office address:

Telephone number (Office):

Email ID:

Full name of the Spouse:

Full name of the father:

Native place address:

Name of Koodukattu Temple:

Gothra:

Details of Children: (Click "Add" button to add more children details)

#	Full Name	Age	Qualification
1

Payment Details:

Received Rs.:

By Cheque/D.D Rs.:

Dated:

Bank Name:

Note: Take the printout of the Membership Form and send it along with your payment via post/courier to below mentioned address:

To,
Hon. Secretary
The Padmashali Samaja Seva Sangha
G-16, Jumbo Darshan Society, Jiva Mahale Marg,
Koldongri, Andheri (East), Mumbai 400069,
Maharashtra, INDIA.
Tel. No.: +91 022 26843422

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