Registration Form Registration Form Full Name/ पुरा नाम * Cellphone Number / सेलफोन नंबर * Address / पता * City / गांव * State / प्रदेश * Adoni Akola Andhra Pradesh Bhopal Bhopal Madhya Pradesh Jalgaon Madhya Pradesh Maharashtra Party Name / राजनीतिक दल * Bharatiya Janata Party Congress Party Independent Indian National Congress Nationalist Congress Party Republican Party of India What’s New Other Party / भिन्न पार्टी * Current Position / राजनीतिक पद * Date of Birth / जन्मतिथी * Place of Birth / जन्म स्थान * Education / शिक्षा * Languages known / आनेवाली भाषा * Marital Status / विवाहित – अविवाहित * Write married / unmarried Children / संतान * Occupation * Constituency / कार्यक्षेत्र * Political History / राजनीतिक इतिहास Political Background /राजनीतिक पार्श्वभूमी Social Organizations / सामाजिक संस्था Social Activities / सामाजिक कार्य Years in Politics / राजनीतिक कार्यकाल Reason to be in politics / राजनीती मे आने का कारण Foreign Visits / विदेश दौरा Website/URL / वेबसाईट Future Aim / भविष्य का लक्ष्य Message to public / संदेश Upload your latest photo / फोटो या सेल्फी * Drop a file here or click to upload Choose File Maximum file size: 5MB Make online payment by scanning this QR Code. After making payment send the payment receipt on +91 94-22-86-19-08. When your payment is realised, your registration will be approved within 24 Hours. Terms & Conditions Information given below will be displayed on www.indianpoliticians.net for 5 years from the date of subscription. www.indianpoliticians.net will not be responsible for any kind of misuse of information, subscription fees, etc by any unauthorised person. www.indianpoliticians.net will not be liable for any kind of free service provided by it. www.indianpoliticians.net will not be responsible if display of information is suspended due to natural calamities, Electric power cut or any other information tech. rules & regulations. All the above information is true to the registrant’s knowledge and belief and he will be responsible for any false information entered in this form. Do you accept our above given terms & conditions? / आपको शर्ते मंजूर है? * Yes. I accept! Submit If you are human, leave this field blank.
