Jainsite

Inspired by :
Muni Bhagyachandra Vijay Maharaj Saheb

Membership Fees Rs.200/-

Form No:- 2792

Jainsite Bhavan

39, Gurukrupa Society,
Opp. Idea Mobile Tower Saddi Ranankpur Bhavan,
Lane Palitana, Gujarat 364270,
[email protected], 7666611171

(FOR PRIVATE CIRCULATION ONLY)

JAINSITE MEMBERSHIP
APPLICATION FORM

(Please fill Application Form in English 'CAPITAL' Letters Only.)

Photo:

Name of Applicant:

Full Address of Applicant:

City :

State :

Pincode :

Phone No :

Mobile No :

E-mail :

Website :

Age :

Education :

Blood Group:

Date of Birth :

Place of birth :

Native Place :

Marital Status

Samaj

GUJARATI

RAJASTHANI

KUTCHHI

PANJABI

Sampradaya

Please write the full name of the association[Sangh] you belong to; and get it stamped by your association [Sangh] on Address proof:

Has anyone in your family taken DIKSHA :

Religious Studies

GURU VANDAN

2-PRATIKRAMAN

PANCH PRATIKRAMAN

JIV VICHAR

ATICHAR

KARMGRANTH

Or

Aaradhana

Occupation :

Days Routine :

Office Holder[Padadhikari] :

Associaiton

Trust

Organization

Or

Contacts if any :

Politics

Bollywood

Industry

Or

Any Donations made for noble cause :

JINALAYA NIRMAN

PRATIMA NIRMAN

UPASHRAY NIRMAN

HOSPITAL NIRMAN

COLLEGE NIRMAN

Or

Disabiltiy(If Any.) :

Kuldevi :

AMBIKA

OSIYAJI

CHAMUNDA

Or

Attach your one address ID Proof (aadhar card, Election card, Driving license , Passport)

I am jain and following jain founded by arihant(Tirthankara).

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.

Inspired by : Muni Bhagyachandra Vijay Maharaj Saheb