Register | Havyaka Mangalya

Havyaka Mangalya

Do you have a Havyaka Mahasabha membership? YES NO

Username(E-Mail Address)*

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Password * {{ errors.first('password')? errors.first('password'):'' }}

Bride or Groom Name*

Gender

This registration is for

Please specify the relationship*

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Mobile Number*

Have you already made the payment? YES NO

Membership Number*

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Membership Name* {{ errors.first('membershipname')? errors.first('membershipname') :'' }}

This membership belongs to Sorry you cannot proceed with this membership, only family members membership are accepted

Is they alive now* Sorry you cannot proceed with this membership.

Please enter relationship details

Select Havyaka Membership Type: *

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Receipt/Cheque/DD/Online Transfer Reference/UTR Number*

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Date* {{ errors.first('cashdate') ? errors.first('cashdate') :'' }}

Amount*

Payment message (if any)

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