| First Name: * |
|
| Last Name:* |
|
| Date of Birth: (DD/MM/YYYY )* |
|
| Gender:* |
|
| Blood Group:* |
|
| Work Place contact details |
| Address: |
|
| Pin: |
|
| Telphone (With
STD): |
|
| Fax: |
|
Residence contact details |
| Address: |
|
| Pin: |
|
| Telphone (With
STD): |
|
| Fax: |
|
| Mobile: |
|
| Email: |
|
| Educational
Qualification:* |
|
| Occupation:* |
|
| Currently staying in India or Overseas ? |
| State:* |
|
| Vibhag:* |
|
| District:* |
|
| Overseas Country:* |
|
| Overseas State:* |
|
| Association with ABVP |
| Place where you
first worked:* |
|
| First Year:* |
|
| State:* |
|
| Vibhag:* |
|
| District:* |
|
| Have you been a
full time worker: |
|
| Won Any Student
Election: |
|
| If Yes,
Name the University / Position and Year: |
|
Currently Associated with ABVP: | YesNo |
| Associated with
any organisation: |
Yes No Presently
Associated with any organisation (Related to Sangh
ideology)
|
| If Yes, Present
Responsibility: |
|
| Organisation
Name: |
|
National Conference attended (Any
three conferences):*
|
click here to get list of Conferences
|
| Family Details |
| Marital Status: |
Married
Single |
| If Married,
Spouse's Name: |
|
| Educational
Qualification: |
|
| Blood Group: |
|
| Occupation: |
|
| Date of
Marriage: |
(dd/mm/yyyy) |
|
|
| References |
Please
Give 3 references of ABVP functionaries of State level
or Above *
|
| Are you associated or active in any of the
following |
| Social
Org./Work: |
|
| Religious Org.: |
|
| Policital
Work/Party: |
|
| Service
Acitivity/Party: |
|
| Other NGO: |
|
| Specify other: |
|
Areas of Interest / Hobby:
|
Achievements (in Educational Career and other
activities):
|
| Responsibility (District and
above) (Date Format : YYYY)* |
|
|
| |