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Initial Information Submission form for States & Districts
This is an initial information submission. By submitting this form, doesn't guarantee for permanent enrollment.
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Untitled Question
Option 1
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State Name
Your answer
Representative Name
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Your answer
Brief about your self and why you want to join Bisha?
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Your answer
Are you already a member of any National/State or District Body?
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Yes
No
If Yes, The Please provide the details.
Details of existing memberships.
*
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Email ID
*
Your answer
Contact No.
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Your answer
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