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REGISTATION FORM

Full Name *

Email address

Age *

Gender *

Adhar Card number

Voter Id

Vidhan Sabha Constituency

Lok Sabha Constituency

Date of birth

Current Date *

Address *

Phone number *

Verify

I hereby consent to receiving any communication from the party either in writing, electronically and/or in any audio-visual format via phone (including SMS/IVR), email and/or at my address. Read more

I am above 18 years , and not enrolled as a government employee.I am not a member of any other political party registered with the Election Commission of India. I am not a member with any organization whose views, policies or actions are in conflict with the objective of the party. I have not been convicted of any offense involving moral turpitude, corruption, criminal offence. Read more

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