Membership Form Please enable JavaScript in your browser to complete this form.Name *FirstLastFather's / Husband's name *Gender *MaleWomanOtherAge *Address for Correspondence *Permanent Address *Police Station *Mobile number *Educational Qualification *FirstMiddleLastOccupation *Language Information *DECLARATION (TO BE FILLED IN BY THE APPLICANT ONLY) घोषणा (केवल आवेदक द्वारा भरी जाएगी ) I hereby declare that I am keen to become a Member/ Post holder for the J&RC and want to render selfless contribution for Justice & Rights, by Submitting this from, I declare that my Age is 18 + Years and that best of my knowledge all the information provided by me in this form is True, Correct and Complete.SUBMIT GIVE US A HAND Support us and change the course of a child’s life today! Contribute
