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Jain Site Membership Registration
Inspired By: Muni Bhagyachandra Vijay Maharaj Saheb
JAINSITE MEMBERSHIP APPLICATION FORM
(FOR PRIVATE CIRCULATION ONLY)
(Please fill Application Form in English 'CAPITAL' Letters Only.)
Photo:
Name of Applicant
Full Address of Applicant
City
State
Pincode
Phone No
Mobile No
Email
Age
Education
Blood Group
Date of Birth
Place of birth
Native Place
Select Marital Status
Unmarried
Married
Widow
Widowman
Divorce
Marital Status
Samaj
GUJARATI
RAJASTHANI
KUTCHHI
PANJABI
Sampradaya
TAPAGACHCHHA
ACHALGACHCHHA
KHARTARGACHCHHA
DIGAMBER
STHANAKWASI
3 STUTIK
TERAPANTHI
OTHER
Other
Please write the full name of the association[Sangh] you belong to; and get it stamped by your association [Sangh] on Address proof
Has anyone in your family taken DIKSHA
Religious Studies
GURU VANDAN
2-PRATIKRAMAN
PANCH PRATIKRAMAN
JIV VICHAR
ATICHAR
KARMGRANTH
OTHER
Other
Aaradhana
UPADHAN
99 YATRA
6 RI PALIT SANGH
MASKHAMAN
SIDDHITAP
VARSHITAP
VARDHAMAN TAP
12 VRAT
OTHER
Other
Occupation
BUSINESS
SERVICE
STUDENT
HOUSEWIFE
RETIRED
Specify
Other
Days Routine
DARSHAN PUJA
CHAUVIHAR
SAMAIK
PRATIKRAMAN
NONE
Office Holder[Padadhikari]
Associaiton
Trust
Organization
other
Other
Contacts if any
Politics
Bollywood
Industry
other
Other
Any Donations made for noble cause
JINALAYA NIRMAN
PRATIMA NIRMAN
UPASHRAY NIRMAN
HOSPITAL NIRMAN
COLLEGE NIRMAN
OTHER
Other
Disabiltiy(If Any.)
Kuldevi
AMBIKA
OSIYAJI
CHAMUNDA
OTHER
Other
Attach your one address ID Proof (aadhar card, Election card, Driving license , Passport)
I am jain and following jain founded by arihant(Tirthankara).
Terms and Condition
Final Decision of the trust will be binding to the applicant.
On approval the I card will be issued.
Photocopy of the Form will not be accepted.
*We (JainST) provide SMS alert in your Registered Mobile Number
The person who gives worng informatin will be responsible for the same. The Trust have a right to cancel
the Membership of the persons at any time who gives wrong information.