User Application Form

MOTHER TERESA SHIKSHA SAMITI

Registration Form

Name * :

Gender * :

Date of Birth * :

Profession:

Blood Group *:

State * :

District *:

Mobile No. *:

Aadhar No. *:

Address *:

Pin Code *:

Email:

Profile Picture:

Upload

Other Document

Upload

Membership Fee - 200/-

Bank Details:

Bank Name: AXIS BANK
Account No. (Current): 922020001789804
IFSC Code: UTIB0004149
Bank Branch: Rajgarh, Dist. Churu

PhonePe Number : 7737114952

UPI SCAN:

Payment Mode *:

Payment Receipt Upload:

Upload