Akhil Bhartiya Veer Gurjar Mahasabha (Reg, No. 298/2012)
Village:- Ankhir, Sector 21 D, Faridabad 121003,
Cell No:-9210060006, 9899177823, 9720970970, Whatsapp:- 9911542929
Facebook Group: http://www facebook. com/#!/groups/veergurjarmahasabha/
Email:- veergurjarmahasabha2012@gmailcom
Website:- www.veergurjarmahasabha.com, WWW.abvgm.com
Membership Form G Code...
Name:
Fathers Name:~ Gotra,
Mothers Name: Gotra, Photo
Date of Birth:
Age:
Email Address:
Phone No:
Parental Village Address:-
Permanent Address:
District
Sta
Vidhan Sabha: Lok Sabha
Education/ Qualification:
Occupation:- (Service Govt Or Private /Business/Student/Other}.
Blood Group : (Medical Blood Group Report Must Be Attached With The Form)
Photo Copy Of ID Proof Must Be Attached With The Form. Only These ID Proofs { Driving Licence, Voter Card, Ration
Card, Passport, Aadhar Card) Will Be Accepted, .
Ll S/o Sh declare that information given by me in the form is true.
have never been convicted of any criminal offences by any court. | will give my full efforts for the upliftment of Gurjar
Community.
4. Sign of Card Holder... bate. Pac
2. Sign Of Card Issuing Officer (District) Names Mobile No:- +91-
3.Sign Of Card Issuing Officer (State) ve Name Mobile No:- +91-
4, Sign OF Card Issuing Officer (Center)... Name... sone Mobile No:- +91
Membership Fees:- Rs 150 (Lifetime)