Saroj Jan Kalyan Sewa Sansthan
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Account Details
Full Name
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Mobile Number
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Email Address
Photo
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Password *
Confirm Password *
Your Signature
(optional)
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This will appear as your signature on your Membership Card and, if applicable, your Agriculture Project certificate.
Membership Type
General Membership
Interested in the Agriculture Project? (optional)
-- Not applying for the Agriculture Project --
एग्रीकल्चर प्रोजेक्ट — PHASE 2 (43 acres remaining, ₹100,000/acre)
This tells us which phase you'd like to join — the organization will confirm your exact land area when your application is approved.
Personal Information
पिता/पति का नाम (Father / Husband Name)
*
आधार संख्या - अंतिम 4 अंक (Aadhaar - Last 4 digits)
*
Contact Information
Alternate Mobile Number
Address Information
Village
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District
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State
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Pincode
Farmer Information
Land Holding (Acres)
Primary Crop
ID Proof Number (Aadhaar/Voter ID etc.)
Security Check
Security Check: What is 6 + 4 ?
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