Membership Form

Full Name (in Capitals) *

Gender *

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Female
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Date of Birth *

Occupation *

Address (Residence) *

Address (Work)

Telephone (Residence)

Telephone (Work)

Mobile Phone with Country Code *

Email Address *

Type of Membership *

FEE DETAILS:

Payment or Transaction Details (Please mention your Name)

Scan QR code for payment

Bank transfers can be made to:

Society to Save Rocks
Bank of Baroda, Jubilee Hills Branch
Account No 18090100003047
NEFT Code BARB0JUBILE where the fifth character is a "zero"

My/Our Contribution. Help with: *

⮞ organising Rock Walks and excursions
⮞ identifying special rock formations
⮞ awareness programs in schools & colleges
⮞ administrative work
⮞ fund raising and membership recruiting
⮞ PR activities and publicity work
⮞ designing of info meterial

I/we can liaise with the following Government agencies: