Ashadip PSC

NAME OF PRESIDENT / CHAIRMAN *

DATE OF BIRTH *
(DD/MM/YYYY)

GENDER *

MOBILE NO *

E-MAIL ID

AADHAAR NO

ADDRESS *
House or Plot No,Vill/Ward,PO,PS,Block/Municipality/Corporation name,Sub Division , Dist,State, Pin,

NAME OF VICE-PRESIDENT / VICE-CHAIRMAN *

DATE OF BIRTH *
(DD/MM/YYYY)

GENDER *

MOBILE NO *

E-MAIL ID

AADHAAR NO

ADDRESS *
House or Plot No,Vill/Ward,PO,PS,Block/Municipality/Corporation name,Sub Division , Dist,State, Pin,

NAME OF SECRETARY *

DATE OF BIRTH *
(DD/MM/YYYY)

GENDER *

MOBILE NO *

E-MAIL ID

AADHAAR NO

ADDRESS *
House or Plot No,Vill/Ward,PO,PS,Block/Municipality/Corporation name,Sub Division , Dist,State, Pin,

NAME OF ASST. SECRETARY *

DATE OF BIRTH *
(DD/MM/YYYY)

GENDER *

MOBILE NO *

E-MAIL ID

AADHAAR NO

ADDRESS *
House or Plot No,Vill/Ward,PO,PS,Block/Municipality/Corporation name,Sub Division , Dist,State, Pin,

NAME OF TREASURER *

DATE OF BIRTH *
(DD/MM/YYYY)

GENDER *

MOBILE NO *

E-MAIL ID

AADHAAR NO

ADDRESS *
House or Plot No,Vill/Ward,PO,PS,Block/Municipality/Corporation name,Sub Division , Dist,State, Pin,

NAME OF MEMBER *

DATE OF BIRTH *
(DD/MM/YYYY)

GENDER *

MOBILE NO *

E-MAIL ID

AADHAAR NO

ADDRESS *
House or Plot No,Vill/Ward,PO,PS,Block/Municipality/Corporation name,Sub Division , Dist,State, Pin,

NAME OF MEMBER *

DATE OF BIRTH *
(DD/MM/YYYY)

GENDER *

MOBILE NO *

E-MAIL ID

AADHAAR NO

ADDRESS *
House or Plot No,Vill/Ward,PO,PS,Block/Municipality/Corporation name,Sub Division , Dist,State, Pin,

NAME OF MEMBER *

DATE OF BIRTH *
(MM/DD/YYYY)

GENDER *

MOBILE NO *

E-MAIL ID

AADHAAR NO

ADDRESS *
House or Plot No,Vill/Ward,PO,PS,Block/Municipality/Corporation name,Sub Division , Dist,State, Pin,

Add More Member
(if add more member please download below file name - members details.xlsx and fill-up and attached)
members details.xlsx

Name *
Address *
Email *
Phone No *

STATE *
DISTRICT *
SUB-DIVISION *
AREA TYPE *
BLOCK / MUNICIPALITY / CORPORATION *
BLOCK / MUNICIPALITY / CORPORATION NAME *
VILLAGE / WARD *
VILLAGE / WARD NAME *
POLICE STATION *
POST OFFICE *
PLOT NO / KHATYAN NO / MOUZA NAME *
PIN NO *

MEMORANDUM *
REGULATIONS
PHOTO IDENTITY PROOF FOR ALL GOVERNING BODY MEMBERS * Any One (Aadhaar Card/Votar Id Card/Driving Licence/Pan Card)
SIGNATURE OF ALL GOVERNING BODY MEMBERS *
OWNERSHIP PROOF FOR PRIVATE CASES
NOC (IN THE FORM OF AFFIDAVIT, IN CASE OF INDIVIDUAL OWNER) FROM THE PREMISES OWNER OR FROM APPROPRIATE AUTHORITY NOC AFFIDAVIT FROM LANDLORD.docx
PHOTOGRAPH OF ALL GOVERNING BODY MEMBERS *
SIGNATURE OF THE APPLICANT * Only JPEG Format
OTHER IF ANY
LAND RECORD-KHAJANA RECEIPT/TAX RECEIPT/PORCHA *
Final Submission *

ORGANIZATION REGISTRATION

Form - New Club, Society, NGO Registration under State of West Bengal

Total Expenses : Rs 6050/-

:: Contact Person Details ::

APPLICANT BASIC INFORMATION

SOCIETY / ASSOCIATION / ORGANIZATION DETAILS

ADDRESS OF REGISTERED OFFICE OF ASSOCIATION

EXPIRATION OF FINANCIAL YEAR

MEMBERS DETAILS

SUPPORTED DOCUMENTS

(only JPEG or PDF files are supported / each file should be less then 2MB )

Our Team

ARPITA CHAKRABORTY BANERJEE

ANINDITA ROY

Gopal Bera

DEBIKA SUBBA

Kiran Bala Dey

PRIYA BISWAKARMA

Mousumi Pal

Nisha Sarki

Chhanda Barik

Jharna Mallick

Contact Info

Visit Us

Mail Us

Call Us

Feel free to write your query

ASHADIP PSC

NAME OF APPLICANT *
DATE OF BIRTH * ( DD/MM/YYYY )
GENDER *
MOBILE NO *
E-MAIL ID
AADHAAR NO
ADDRESS

NAME OF ORGANIZATION *
OBJECTIVE OF THE ORGANIZATION * Maximum 500 Character