Form No.200000
Jainsite Bhavan
39, Gurukrupa Soc.
Opp. Idea Mobile Tower,Saddi-Ranakpur Bhavan Lane
Palitana - 364270,Dist- Bhavnagar (Gujarat), info@jainsite.com
Membership Fees Rs.50/-
Inspired by : Muni Bhagyachandra Vijay Maharaj Saheb
Form No:- 27274
Jainsite
Room no 1, Second Floor
Gopal Bhavan Near Adarsh Hotel Opp. Thakkar Bhojanalaya,
Dadisheth Agyari Lane Marine Lines (East) Mumbai - 400002. icard@jainsite.com,7666611171
(FOR PRIVATE CIRCULATION ONLY)
JAINSITE MEMBERSHIP
APPLICATION FORM
(Please fill Application Form in English 'CAPITAL' Letters Only.)
Membership Fees Rs.70/-
Photo :
Name of Applicant :
Full Address of Applicant :
   
City: State: Pincode:
Phone No :
Mobile No:
E-mail :
Website :
Age :
Education: Clan(Gotra):
  :
Religion(Dharma): Jain Blood Group:
Date of Birth :
Native Place
Marital Status :
Unmarried
Married
Widow
Widowman
Divorce
Caste :
Kutchi Dasha
Kutchi Visha
Vagad
  :
Rajasthani Oswal
Rajasthani Porwal
   
Or
Sampradaya :
Shwetambar
Tapaagach
Achalgach
Khartargach
Digambar
  :
Sthanakavasi
Tristutik
Terapanth   Or
Please write the full address of the association[Sangh] you belong to; and get it stamped by your association [Sangh] :
Has anyone in your family taken DIKSHA :
Religious Studies :
Guruvandan
2 Pratikraman
Panch Pratikraman
  :
Jiv Vichar
Atichar
Kamargranth  Or
Aaradhana :
Upadhan
99 Yatra
6 Ri Paalit Sangh
Masakshaman
   
Siddhitap
Varshitap
Vardhamantap   Or
Language :
Gujarati
Marathi
Hindi
  :
English
Rajasthani    Or
Occupation :
Business
Job
Student
Housewife
Profession    Specify
Interest :
Devotion towards the Almighty
Social Work [Human Beings]
Devotion towards the Guru
Devotion towards the Religion
Hospital
Education
Social Work [All living Creatures]
School
Talent :
Speech
Dance   Or
Days Routine :
Everyday Puja
Chauvihar[Temple]
Darshan
Office Holder[Padadhikari] :
Associaiton(Oswal
Trust
Organization
   
Or
Contacts if any :
Politics
Bollywood
Industry   Specify
Any Awards received in your life :
Any Donations made for noble cause :
Jinalaya Construction
Pratima Construction
  :
Upashray Construction
Kayami Dhvaja
   
Or
Medical Conditions :
Handicapped
Pradnyachakshu
Other medical conditions
Family deity [Kul Devi] :
Ambika
Osiyaji
Chamunda
   
Or
Attach your one address ID Proof (aadhar card, Identity card, Passport)
I hereby declare myself as a follower of Jain Dharma, and abide by the teachings of the arihant.

Terms and Condition

  • Final Decision of the trust will be binding to the applicant.
  • On approval the I card will be issued.
  • Photocopy of the Form will not be accepted.
  • *We (JainST) provide SMS alert in your Registered Mobile Number
  • The person who gives worng informatin will be responsible for the same. The Trust have a right to cancel
    the Membership of the persons at any time who gives wrong information.