ଓଡିଶା ମାନବଧିକାର ପରିଷଦ
Odisha Human Right Council
ओडिशा मानवाधिकार परिषद
ODISHA HUMAN RIGHTS COUNCIL MEMBERSHIP APPLICATION FORM
FUlLL NAME
EMAIL ID
MOBILE NUMBER
Mobile number must be 9 digits and start with 6, 7, 8, or 9.
DATE OF BIRTH (MM/DD/YYYY)
BLOOD GROUP
BLOOD GROUP
A+
A-
B+
B-
O+
O-
AB+
AB-
NONE
GENDER
GENDER
MALE
FEMALE
TRANSGENDER
STATE
Select State
DISTRICT
Select District
BLOCK / PANCHAYAT
Select Block
PASSPORT PHOTO (CROP IMAGE AFTER UPLOAD)
[Note:Please Upload Passport Photo,JPG/PNG format only.Maximum size: 100KB]
AADHAR CARD PHOTO
[Note: Please Upload Aadhar Card in JPG/PNG format only. Maximum size: 5MB]
PAN CARD / VOTER ID / DRIVING LICENCE PHOTO
[Note: Please upload Pan card / Voter id / Driving Licence in JPG/PNG format only. Maximum size: 5MB.]
APPLY FOR MEMBER
APPLY FOR MEMBER
STATE MEMBER
DISTRICT MEMBER
BLOCK MEMBER
DONATION AMOUNT DETAILS
I Agree & Submit
: I understand that the membership donation amount is non-refundable .
SUBMIT
