Membership - Shree Jagannath Mandir

Choose Your Membership Plan

Life member

₹1,100

per year

⁠Patron Member

₹5,500

per year

Bhogo Member

₹5,500

per year

Special Event Member

₹10,000

per year

Life member Application

Upload Photograph * JPG / PNG / PDF (Max 5MB)

Name *

Middle Name *

Surname *

Date of Birth *

Date of Anniversary

Age *

Sex *

Nationality *

Occupation *

Aadhaar Card *

📷 Image (Front & Back) ✔ 📄 PDF ✔

PAN Card *

Permanent Address

Village/Street *

Area/Post *

District *

City *

State *

Local Address

Village/Street *

Area/Post *

District *

City *

State *

Email ID *

Mobile No *

Introducer's Details

Introducer's Name *

Membership No

Address

Mobile No *

Place *

Date *

Mode of Payment *

⁠Patron Member Application

Upload Photograph * Accepted formats: JPG, PNG, PDF (Max 5MB)

Name *

Middle Name *

Surname *

Date of Birth *

Date of Anniversary

Age *

Sex *

Nationality *

Occupation *

Aadhaar Card *

📷 Image (Front & Back) 📄 PDF

PAN Card *

Permanent Address

Village/Street *

Area/Post *

District *

City *

State *

Local Address

Village/Street *

Area/Post *

District *

City *

State *

Email ID *

Mobile No *

Introducer's Details

Introducer's Name *

Membership No

Address

Mobile No *

Place *

Date *

Mode of Payment *

Bhogo Member Application

Full Name *

Membership Number

Aadhaar Card Details

Aadhaar Card Number *

Aadhaar Card *

📷 Image (Front & Back)✔ 📄 PDF✔

Bhogo Person Details

Relation *

Bhogo Person Name *

Birth Details

Maase (Month) *

Tithi *

Pakhya *

Gautra *

Contact Information

Mobile Number *

Membership Details

Designation *

Payment Details

Mode of Payment *

Temple Membership

Choose Your Membership Plan

Life member

⁠Patron Member

Bhogo Member

Special Event Member

Life member Application

Permanent Address

Local Address

Introducer's Details

⁠Patron Member Application

Permanent Address

Local Address

Introducer's Details

Bhogo Member Application

Aadhaar Card Details

Bhogo Person Details

Birth Details

Contact Information

Membership Details

Payment Details