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Membership Forms

Membership Form - Shiv Shramik Kamgar Sanghatana

Membership Form — Shiv Shramik Kamgar Sanghatana (REGD.)

Address reference available in uploaded PDF: /mnt/data/Shive Shramik Form Design.pdf.

Form No.

Date

Membership Fee (₹)

Full Name

Father's / Husband's Name

Date of Birth

Gender

Male Female Other Show Blood Group

Blood Group

Address

Email ID (if any)

Contact Number

Occupation / Employment

Worker Category Code (TTT)

Aadhaar Card Number

PAN Card Number (if any)

Bank Name

Account Number

IFSC Code

Nominee Details

Attach documents (Aadhaar, photo, etc.)

Recommended: Aadhaar copy, passport photo. Max size per file 5MB (adjust on server).

Declaration

Signature on submission & date will be recorded on server.

Notes: Replace action="YOUR_SERVER_ENDPOINT" with the URL on your server (where you will process and save form data and uploaded files). Validate Aadhaar/PAN and worker category (TTT) on the server. For GDPR/India privacy compliance, store personal data securely and show a privacy notice as needed.

Documents Required:

Aadhaar Card Copy
Passport Size Photo
Occupation Details
Address Proof (if not on Aadhaar)