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MEMBERSHIP FORM
Personal Details / व्यक्तिगत विवरण
Student Name / अभ्यर्थी का नाम
*
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Father's Name / पिता का नाम
*
Mother's Name / माता का नाम
*
Gender / लिंग
*
Please Select
Male / पुरूष
Female / महिला
Transgender / उभयलिंग
Date of Birth / जन्म तिथि
*
Marital Status / वैवाहिक स्थिति
*
Please Select
Married
Unmarried
Mother Tongue / मातृभाषा
*
Contact Details / संपर्क विवरण (In Case of minor Parents details will be given)
Mobile Number / मोबाइल नंबर
*
Email id / ईमेल आईडी
*
Permanent Address Details / स्थायी पता विवरण
Permanent Address (Including Pin Code) /
*
स्थायी पता (पिन कोड सहित)
State / राज्य :
Select Your State
Andra Pradesh
Arunachal Pradesh
Assam
Bihar
Chhattisgarh
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Madya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Orissa
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttaranchal
Uttar Pradesh
West Bengal
UNION Territories
Andaman and Nicobar Islands
Chandigarh
Dadar and Nagar Haveli
Daman and Diu
Delhi
Lakshadeep
Pondicherry
District / जिला :
Pin Code :
Educational / Qualification Details / शैक्षिक / योग्यता का विवरण
Enter Your Professional/Educational Details
*
Select Your Profession
PLEASE SELECT *
Student
Working
Non Working
Select Your Education Qualification
PLEASE SELECT *
I
II
III
IV
V
VI
VII
VIII
IX
X
XI
XII
Undergraduated
Graduted
Post-Graduated
Ph.D
Enter Your Institution Name
Select Your Profession
PLEASE SELECT *
Government
Private
Self Employed
Enter Your Organisation Name
Information
From where you learnt about National Space Club
*
Please Select
Social Media
School/College
Friend/Colleague
News
Language Preference
*
Please Select
Hindi
English
Membership
Select Your Membership Plan
*
Please Select
Monthly -- ₹100 (One Hundered Rupees Only)
Annual -- ₹1000 (One Thousand Rupees Only)
Personal Declaration :-
*Membership Plans and Duration*
Monthly Membership Plan: The membership fee is ₹100. The membership is valid for 30 days from the date of activation.
Annual Membership Plan: The membership fee is ₹1,000. The membership is valid for 365 days from the date of activation.
*Payment Terms*
All fees are non-refundable and must be paid in full at the time of enrollment.
Membership will not be activated until payment is successfully processed.
*Membership Renewal*
Monthly memberships must be renewed before the end of the 30-day period to maintain uninterrupted access.
Annual memberships must be renewed before the end of the 365-day period to maintain uninterrupted access.
*Usage Policy*
Membership benefits are non-transferable and exclusively for registered individuals.
Members must adhere to the guidelines and policies outlined by the organization.
*Termination of Membership*
The organization reserves the right to terminate membership for non-compliance with the terms and conditions or violation of policies.
No refunds will be issued upon termination.
*Liability Disclaimer*
The organization shall not be held responsible for any indirect or consequential loss arising from the use of membership services.
**Note: National Space Club will be started from 1st June 2025
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