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Registar As Member
AIBSS Official
All India Banjara Seva Sangh (AIBSS)
Official Online Member Registration Portal
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हिंदी
मराठी
1. Personal Information
Full Name
*
Gender
*
Select Gender
Male
Female
Other
Date of Birth
*
Format: DD/MM/YYYY
Mobile Number
*
WhatsApp Number
State
*
Select State
Andaman and Nicobar Islands
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Daman and Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Ladakh
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Puducherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
District
*
Taluka / Tehsil
*
Village / City
*
Current Residential Address
*
2. Professional & Social Background
Highest Qualification
Select Qualification
Illiterate
Primary
Secondary
Higher Secondary (12th)
Graduate
Post Graduate
Diploma
Doctorate (Ph.D)
Other
Specific Degree / Subject Details
Employment Status
*
Select Status
Employed / Job
Self-Employed / Business
Retired
Student / Unemployed / Other
Profession Category
Select Category
Farmer / Agriculture
Government Employee
Private Sector
Business / Trader
Retired Government Employee
Student
Other
Cultural / Folk Art Background
None
Writer / Poet / Author
Kirtankar / Bhajan Singer
Social Media Creator
Other Folk Artist
Political Background / Position
None
Gram Panchayat Member
Gram Panchayat Deputy Sarpanch
Gram Panchayat Sarpanch
Panchayat Samiti Member
Panchayat Samiti Sabhapati
Zilla Parishad Member
Zilla Parishad President
Municipal Corporator
Mayor
MLA
MP
APMC Director
DCC Bank Director
Other (Specify)
Specify Position
*
Blood Group
Select
A+
A-
B+
B-
AB+
AB-
O+
O-
Don't Know
Specially Abled (Divyang)?
No
Yes
3. Declarations & Document Uploads
Any legal action pending against you?
*
No
Yes
Legal Matters Description
*
Associated with any other organization or social activities?
No
Yes
Organization Name
Activities & Roles
Interested in actively participating in activities of AIBSS?
Yes, Definitely
No
Maybe / In Future
Passport Size Photo
*
Photo Ready & Compressed
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Aadhaar Card (Image / PDF)
*
PDF Document Attached
Document Verified
Max 10MB (Images compressed to WebP automatically).
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