Participant Application Form

Membership Application

Regd : 746 of 2022 (TSGGDF 78292012)
Individual membership (Annual fee: INR 5000/-)
Name*

First NameLast Name
Email address*
example@example.com
Gender

MaleFemalePrefer not to sayOther
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mobile Number*
Please enter a valid phone number.
Note: About individual membership privileges:

1. Annual subscription is for year-round events and activities.

2. Regular updates to all members through WhatsApp Group.

3. Social Media handles: Facebook,Instagram and Twitter.
Business or group membership upto 5 person (Annual fee: INR 10000/-)
Business/Organization name
Website
Primary contact name
Primary contact email
example@example.com
Position
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mobile Number
Please enter a valid phone number.
Note: About individual membership privileges:

1. Annual subscription is for year-round events and activities.

2. Regular updates to all members through WhatsApp Group.

3. Social Media handles: Facebook,Instagram and Twitter.
Duration of membership

From (date of membership approval) to (date of membership renewal). Club memberships are renewed annually.
Name: Darshini cultural Association
Bank name: Bank of Baroda
Account number: 26610200000948
Branch: Banjara hills road no 10, Hyderabad
IFSC code: BARB0PBBHYD
Swift code : BARBINBBXXX
Payment proof/screenshot:

Cancelof
Should be Empty:

Membership Application