Membership Application Form – All India Equality Forum

Join the Movement

Application for Life Membership

Dear Applicant, please send the ₹200 membership fee to the bank account details provided below. After making the payment, attach the payment receipt screenshot in the form and then proceed to fill and submit the form.

💳 Bank Account Details for Payment

Account Name: ALL INDIA EQUALITY FORUM
Account Number: 01341000031309
Bank Name & Branch: Punjab and Sind Bank, Jogiwala, Dehradun
IFSC Code: PSIB0000134

Payment Details

Life Membership Fee

Upload Payment Receipt * 📎 Click to upload payment receipt

Personal Information

Name of Applicant (in BLOCK LETTERS) *

Father / Husband Name *

Date of Birth *

Occupation *

Whether Central / State Service *

Central State Other

Upload Passport Size Photo * 🖼️ Click to upload passport size photo

Service / Employment Details

State

Post Held

Department

Office Address (If Employed)

Address Details

Correspondence Address *

Permanent Address *

Contact Information

Phone (Office)

Phone (Residence)

Mobile No. *

Email ID *

Any Other Important Information

ℹ️ By submitting this form, I declare that all the information provided is true and correct, and I agree to abide by the constitution and rules of the All India Equality Forum.