Volunteer’s Registration Form



Please fill all (*) marked fields


  Committed Time Period*
  When can you start* :
  Name*
  Date of Birth:
  Gender* :
  Education:
  Occupation:
  Address :
  District
  State*
  Lok Sabha Constituency :
  Vidhan Sabha Constituency :
  Phone No. :
  Mobile No :
  Email :
  Facebook ID :
  Twitter ID
  Other Social Media ID
  Area of Interest :
  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