banner-01Member RegistrationBecome a member of Anjani Putra Sena... Registration To become a member of Anjani Putra Sena, please fill up this form. We will get back to you soon. Personal Details Full Name: * Date Of Birth: * Father's Name: * Mother's Name: * Phone: * WhatsApp: Email: * Full Address: * PO: PS: Pin Code: * Constituency: Select AnyVidhan SabhaLok Sabha Vidhan Sabha: Lok Sabha: Passport Size Photo: Aadhaar Number: * Aadhaar Card: Other Details Blood Group: Select AnyA+A-B+B-O+O-AB+AB- Preferred Language: Select any oneAssameseBengaliBhojpuriBodoDogriEnglishFrenchGaroGujaratiHindiKannadaKashmiriKhasiKok BorokKonkaniMaithiliMalayalamManipuriMarathiMizoNepaliOriya/OdiaPunjabiSanskritSantaliSindhiTamilTeluguUrdu Highest Educational Qualification: Select any onePrimary School Certificate (Class 1–5)Middle School Certificate (Class 6–8)Secondary School Certificate (SSC) / Matriculation / Class 10Higher Secondary Certificate (HSC) / Intermediate / Class 12B.A. – Bachelor of ArtsB.Sc. – Bachelor of ScienceB.Com. – Bachelor of CommerceBBA – Bachelor of Business AdministrationBCA – Bachelor of Computer ApplicationsB.Tech / B.E. – Bachelor of Technology / EngineeringLLB – Bachelor of LawsMBBS – Bachelor of Medicine and Bachelor of SurgeryB.Pharm – Bachelor of PharmacyB.Ed. – Bachelor of EducationB.Arch – Bachelor of ArchitectureBDS – Bachelor of Dental SurgeryBFA – Bachelor of Fine ArtsM.A. – Master of ArtsM.Sc. – Master of ScienceM.Com. – Master of CommerceMBA – Master of Business AdministrationMCA – Master of Computer ApplicationsM.Tech / M.E. – Master of Technology / EngineeringLLM – Master of LawsM.Ed. – Master of EducationM.Pharm – Master of PharmacyMFA – Master of Fine ArtsPh.D. – Doctor of PhilosophyD.Litt. – Doctor of LiteratureD.Sc. – Doctor of ScienceM.Phil. – Master of Philosophy (pre-PhD research degree)Diploma in Engineering (Polytechnic)Diploma in Education (D.Ed.)Post Graduate Diploma (PGD)ITI Certificate – Industrial Training InstituteComputer Certificate Courses (e.g., DCA, ADCA)Language Proficiency CertificatesNursing Diploma (GNM, ANM) Occupation: Select any oneAccountantActorAdministrative AssistantAgricultural ScientistArchitectArmy OfficerCarpenterCashierChefCivil EngineerCNC OperatorConstruction WorkerCustomer Service ExecutiveData AnalystData ScientistDelivery PersonDentistDietitianDoctorDriverElectricianEvent PlannerFarmerFashion DesignerFirefighterGraphic DesignerHorticulturistHotel ManagerHousekeeperHR ExecutiveIT Support SpecialistJournalistJudgeLab TechnicianLawyerLibrarianLogistics ManagerManagerMarketing ExecutiveMasonMechanicMusicianNetwork AdministratorNurseParalegalParamedicPediatricianPharmacistPhotographerPhysiotherapistPilotPlumberPolice OfficerPrincipalProfessorPsychiatristQuantity SurveyorRadiologistReceptionistSalespersonSecurity GuardShip CaptainSite SupervisorSoftware EngineerSpecial Education TeacherStore ManagerSurgeonTeacherTechnicianTour GuideTrain ConductorTravel AgentTutorUX/UI DesignerVeterinarianVideographerVisual MerchandiserWaiter/WaitressWeb DeveloperWelderWriterOther How did you know about us? Select any oneSearch Engines: Google, Bing, etc.Social Media: Facebook, Instagram, Twitter, TikTok, LinkedIn, etc.Email: Newsletters, promotional emails, etc.Referral: Word-of-mouth, recommendations from friends/familyOnline Ads: Google Ads, social media ads, etc.Website: Directly visiting the websiteOther I have read, understood and agree to abide by the Terms and Conditions
