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Membership and Certificate


Form - TAKE PLEDGE UNDER MY GOVT.

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Total Expenses : Rs 5900/-

Sponsor Present ? * Yes No




[ After Click On Primary Submit Check your Email ID for Final Submission ]

APPLICANT BASIC DETAILS

Title *
Full Name *
Gender *
Date of Birth *
e. g. (dd-mm-yyyy)
Mobile Number *
E-Mail Id *
State *
District *
Pin Code *
Identity Proof *
Identity Proof No *
(Any One - Pan No / Passport No / Votar Id Card No / Other No)

PLEDGE CERTIFICATE DETAILS

Sample certificates
Sample Pledge.pdf
Apply for Pledge Certificate * The Ayush Sanjivani Pledge
" Say Yes to Life, No to Drugs" Pledge
BE VOCAL about LOCAL Pledge
I Pledge to Fight Against The Stigma of Covid-19
Pledge to Render My Service for # FightAgainstCorona
Pledge to Stay Home
I Support JANATA CURFEW
International Womens Day Pledge
E-Waste Pledge (Swachhta Hi Suraksha)
Dekho Apna Desh (Incredible India)
Youth Pledge (Ministry of Youth Affairs and Sports)
Anti - Dowry Pledge
Constitution Day Pledge
Rashtriya Ekta Pledge
Gandhi in Me
Entrepreneurship Pledge (Ministry of Skill Development and Entrepreneurship)
Anti-Littering Pledge
TB Free India Pledge (Ministry of Health and Family Welfare)
Fuel Conservation Pledge
Namami Gange Pledge
SOIL Health Pledge
Swachh Bharat Pledge
Aatma Nirbhar Bharat Pledge
Drug Free India Campaign Pledge
Fit India Freedom Run Pledge
Support Senior Citizens

SPONSORED INFORMATION AND FINAL SUBMISSION

Sponsored Name * Yes No
If Yes, Give the Sponsored Username

Our Team

ARPITA CHAKRABORTY BANERJEE
IT Co Ordinator
PRIYA BISWAKARMA
IT Co Ordinator
Mousumi Pal
Tele Caller
ANINDITA ROY
IT Co Ordinator
Rabina Kumari Sharma
IT Co Ordinator
Nisha Sarki
Relationship Manager
DEBIKA SUBBA
IT Co-Ordinator
Chhanda Barik
Mobilizer
Jharna Mallick
Caustomer Care Executive
Kiran Bala Dey
Caustomer Care Executive

Contact Info

Visit Us

At-Peerbaba Tower,1st Floor, OT Road, P.O-Inda,P.S-Kharagpur Town, Dist-Paschim Medinipur, State-West Bengal,Pin- 721305

Call Us

+91 8918726833

Feel free to write your query


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