Jainsite

Inspired by :
Muni Bhagyachandra Vijay Maharaj Saheb

Membership Fees Rs.70/-

Form No:- 32037

Jainsite

38 Gopal Bhavan Dadisheth Agyari Lane,
2nd floor,Room no 14/15,
Near Mahapragya school,Near Adarsh bag Hotel
Marine Lines (East) Mumbai - 400002.
icard@jainsite.com, 7666611171

(FOR PRIVATE CIRCULATION ONLY)

JAINSITE MEMBERSHIP
APPLICATION FORM

(Please fill Application Form in English 'CAPITAL' Letters Only.)

Photo:

Name of Applicant:

Full Address of Applicant:

City :

State :

Pincode :

Phone No :

Mobile No :

E-mail :

Website :

Age :

Education :

Blood Group:

Date of Birth :

Place of birth :

Native Place :

Marital Status

Samaj

GUJARATI

RAJASTHANI

KUTCHHI

Sampradaya

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

Or

Aaradhana

Occupation :

Days Routine :

Office Holder[Padadhikari] :

Associaiton

Trust

Organization

Or

Contacts if any :

Politics

Bollywood

Industry

Or

Any Donations made for noble cause :

JINALAYA NIRMAN

PRATIMA NIRMAN

UPASHRAY NIRMAN

HOSPITAL NIRMAN

COLLEGE NIRMAN

Or

Disabiltiy(If Any.) :

Kuldevi :

AMBIKA

OSIYAJI

CHAMUNDA

Or

Attach your one address ID Proof with sangh Rubber stamp (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.

Inspired by : Muni Bhagyachandra Vijay Maharaj Saheb

Membership Fees Rs.70/-

Form No:- 32037

Jainsite

(FOR PRIVATE CIRCULATION ONLY)

JAINSITE MEMBERSHIP APPLICATION FORM

(Please fill Application Form in English 'CAPITAL' Letters Only.)

Or

Or

Or

Specify

Or

Or

Or

Or

Terms and Condition

Inspired by :
Muni Bhagyachandra Vijay Maharaj Saheb

JAINSITE MEMBERSHIP
APPLICATION FORM