Become a Member

Life Members
Ordinary Members

Become a Life Member

Title

First Name*

Middle Name

Last Name*

Upload your photo*

Date of Birth*

Father's Name (Applicable even to married women)*

Permanent Address

Address*

State*

Country*

PIN Code/Postal Code*

Temporary Address

Address

State

Country

PIN Code/Postal Code

Address for Communication

Personal Details

Email Address*

Mobile Number*

Landline Number

Occupation*

Educational Qualification*

If 'Others', please indicate below

Your Proof of Identity*

If 'Others', please indicate below

(Upload both side image for Voter Card, Aadhar & Passport)

Upload front side*

Upload back side

Your Proof of Address*

If 'Others', please indicate below

(Upload both side image for Voter Card, Aadhar & Passport)

Upload front side*

Upload back side

In the context of your proposed Membership, would like to share with us any information relating to your personal achievement in the fields of education, sports literature, performing arts etc. OR social work OR business/profession:YesNo

Declaration

I hereby declare that the particulars given above are true to the best of my knowledge and belief. I understand that my admission to the Membership to KOLKATA SUBARNA FOUNDATION (KSF) is subject to the approval of its Governing body. Further, I hereby undertake to comply with all Rules and Regulations of KSF, as may be applicable to me from time to time, upon my admission to the Membership.

Place*

Upload signature of the applicant*

Become an Ordinary Member

Title

First Name*

Middle Name

Last Name*

Upload your photo*

Date of Birth*

Father's Name (Applicable even to married women)*

Permanent Address

Address*

State*

Country*

PIN Code/Postal Code*

Temporary Address

Address

State

Country

PIN Code/Postal Code

Address for Communication

Personal Details

Email Address*

Mobile Number*

Landline Number

Occupation*

Educational Qualification*

If 'Others', please indicate below

Your Proof of Identity*

If 'Others', please indicate below

(Upload both side image for Voter Card, Aadhar & Passport)

Upload front side*

Upload back side

Your Proof of Address*

If 'Others', please indicate below

(Upload both side image for Voter Card, Aadhar & Passport)

Upload front side*

Upload back side

Declaration

Place*

Upload signature of the applicant*

Become a Life Member

Become an Ordinary Member

For any assistance, please contact

Jayanta Kumar Chandra

Amit Dhar

Pradip Law

Prasenjit Mullick

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