Be A Mamber

Indian Donor
STATE BANK OF INDIA

Mirchaibari, Katihar,Bihar - 854105

In the favour of :- JANLAKSHYA
IFS CODE :-SBIN0000203
A/C :-10984653365
Member Registration Form
Membership Fee :-2051/- (Life Time)
Memeber Name :-
Father's Name :-
Date of Birth :-
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Nationality :-
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E-Mail Id :-
Permanent Address
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Pin No. :-
State :-
Correspondence Address (Same as Permanent Address )
Town/City :
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