श्री खाटू श्यामजी मधुबन

Trustee Application form

Applicant's First Name

Applicant's Last Name

Add Photo (Recent Coloured Photograph)

Date of Birth

Gender

Father Name

Mother's Name

Gotra

Blood Group

Mobile No.

Whatsapp No.

AADHAR Card No.

Aadhar Photo(Front)

Aadhar Photo(Back)

Proposer Trustee Name and No.

Trustee Type

Email Id

Married

Yes No

Spouse Name

Spouse DOB

Anniversary Date

Upload Spouse Pic (For Marriage Anniversary Wishes)

No. of Children

#	Name	Gender	DOB	Married	Married Date

Residential Address

Address 1

Address 2

Address 3

Address 4

Address 5

Address 6

Address 7

Address 8

State

Pin Code

Google Location

Nationality

Type of Working

Organisation Name

Nature of Business.

Designation

Buisness Address

Buisness Address 1

Buisness Address 2

Buisness Address 3

Buisness Address 4

Buisness Address 5

Buisness Address 6

Buisness Address 7

Buisness Address 8

State

Pin Code

Nominee Relation with Member

Nominee Name

Nominee ID

Nominee ID No.

Nominee Document

Select Correspondence Address

Signature Upload

Applicant's Signature

Cancel