Multi-Purpose Form
       
1. Select type of Category  
2. Select type of Member  
3. Full Name  
4. Father or Mother's Name  
5. Date of Birth (dd/mm/yyyy)  
6. Gender  
7. Profession  
8. Permanent Address: House No/Street City/Country  
9. Citizen  
10. E-Mail Address  
11. Phone/Mobile No.  
12. Educational Qualifications  
13. Membership Amount (INR)*  
14. Mode of Payment  

Net Banking Details

Bank Name: Allahabad Bank
Bank Branch: Indira Nagar, Lucknow
Account Name: International Social Workers Association (ISWA)
Account Type: Current
Account Number: 50025707688
IFS Code: ALLA0211142

Declaration

  1. I hereby declare that the above details are true. I have not been involved in anti-social activities in any country and not blacklisted by any competent authority.
  2. After I have clicked the button Accept and Save I will come back to this page and make payment by dispatching cheque/demand draft to the ISWA's headquarters.
  3. I understand that my membership will commence only when my payment of membership fee is processed.

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