Yogakshemam Bangalore

New Membership Form

Please fill the form below :

Name

Email id

Membership Type

Tharavad

Father's Name

Local Address 1

Local Address 2

Local Address 3

Local Address 4

District

Pincode

State

Telephone

Mobile

Office Name

Spousename

Spouse Illam

Spouse Email

Spouse Phone

Child 1 Name

Child 2 Name

Child 3 Name

Date of Birth

Spouse DOB

Child 1 DOB

Child 2 DOB

Child 3 DOB

Blood Group

Spouse Group

Child 1 Blood Group

Child 2 Blood Group

Child 3 Blood Group

Native Address 1

Native Address 2

Native Address 3

Native Address 4

Native Address District

Native Address Pincode

Native Address State

Password

I agree to abide by the rules and regulations of Yogakshemam Bangalore

* Spam Filter:

Yogakshemam Bangalore is registered under societies' act and is a non profitable organisation which stands for the values and objectives that it is formed for and is governed by its by-laws. Anybody who likes to become a member of Yogakshemem Bangalore has to understand these regulations and agree to abide by the rules.

Also tick box declaration may be ' I agree to abide by the rules and regulations of Yogakshemam Bangalore'

Procedure To become a Member
1. Fill the form online
2. Make one time membership fee Rs 1000/- through online/cash/cheque Executive has power to accept or reject without assigning any reason

Once payment is received and membership is accepted you will get confirmation and Membership Number will be informed through your email. In case of any rejection by executive committee for any reason the same will be informed and membership fee will be refunded.

For any clarification please contact :
NARAYANAN AN
MOB:9845669114
Email annykb2019@gmail.com

Bank Account Details

Name : YOGAKSHEMAM BANGALORE
A/C No : 0279053000001144
IFSC/NEFT Code : SIBL0000279
South Indian Bank Ltd.
Malleshwaram Branch
Bangalore