BJS Life Membership Form

Bharatiya Jain Sanghatana

BJS Chapter Name

Chapter Address
Male Female

Educational Qualifications

Residence Address

Occupation

Business Service Professional Other

Office / Business Address

I hereby accept that if my Life Membership of BJS < Chapter Name >, is approved, I will abide by the constitution of the chapter. I agree to pay the life membership fee and annual charges in accordance with the chapter constitution.

Contact Information

Dinesh Palrecha
President - Karnataka State
Ramesh Electricals
#02, 29th Ward, 2nd Cross, M.J. Nagar
Dam Road, Near Citi Hospital, Hosapete - 583 203. Dist.
Bellari, Karnatake State (INDIA)

Jayantilal Dhanesha
Secretary - Karnataka State
Prakash Electricals
Old Bus Stand Road,
Hosapete - 583 201. Dist. Bellari
Karnataka State (INDIA)

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