Application for WASA Membership
Fees structure - 500₹ One year Membership + Membership Card (Excluded - WASA's T-Shirt and other  accessories)

Name *
Age *
Gender *
Required
Date Of Birth *
MM
/
DD
/
YYYY
Details Address *
Mobile Number *
Email *
Educational Qualification *
In case of Emergency situation Contact person details - (Name, Address, Mobile number, Alternative Mobile number, Relation with them) *
Applying for *
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