Aumaujayaa Aagna Memebership Service Form

Member Details

First Name

Last Name

E-mail

Phone Number

Alt Mobile Number

Qualification

Father Name

Mother Name

Nearest Center

Person Type

Gender

Male

Female

Age

Profession

Avg. Monthly Income

Present Address

State

District

Town/Locality

Address Lane1

Address Lane2

Pincode

Permanent Address

Same as Present Address

State

District

Town/Locality

Address Lane1

Address Lane2

Pincode

Additional Info

Which service you like to do

Which type of donations you want to give

Which meditations you like to do

Which Satsang you like to attend

Which Campaign (Pracharam) you like to do

Which initiation(Deeksha) you like to take

Your photo

Your family photo

Reference Details

Reference Person Name

Reference Person Mobile No

Membership Charges

INR.121.00/-

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