Become Yuva Mitra of BJYM

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  Registration No.
  Name* :
  Gender* :
  Date of Birth:
  Father's Name :
  Address :
  District :
  State* :
  Lok Sabha Constituency :
  Vidhan Sabha Constituency :
  Mandal :
  Phone No. :
  Email :
  Facebook ID :
  Reffered by
  Suggestion :
  I declare that, I wish to be enrolled as a Yuva Mitra of BJYM.
  • • I shall abide by the constitution of BJP.
  • • The information given by me in the above form are true.
  • • I am above 18 years and below 35 years of age and a citizen of India.
  • • I am not a member of any other political party.
  • • I have not been charged/convicted for any criminal offence other than political agitation.
  I Agree