Expression of Membership
Email *
Name of the Main Member *
Age Group of Main Member  *
Please select from the options below
Preferred Mobile Number *
Mobile number of main member (04xx xxx xxx). Please provide a valid mobile number.
Current Residential Address *
Home Town in Rajasthan *
Family Member Details *
Name, relationship, email (if applicable) and phone number (if applicable) of all the family members for Rajkov communication (None - In case of single applicant) 

(Example: Spouse name (husband/wife), email@email.com, Phone 04xx xxx xxx;  None - In case of single applicant)
Occupation Details *
(Employment/Profession/Business) 
Please write about your current employer, profession or business name and the description of goods or services or write "prefer not to disclose".
Reference *
Please provide reference (Full Name) of any RAJKOV current or past member or write "None".
Rajasthan Connection *
Please share with us a little bit about your connection with Rajasthan
Please let us know why you will like to join Rajkov *
Contribution
How would you like to contribute or be involved in RAJKOV activities (examples - cultural activities, sports, youth engagement, kids engagement, IT management, others, etc.)
Membership Type *
* For life membership, you need to be an annual member for 2  years.
DISCLAIMER: The information contained in this form is to remain confidential, privileged and only for the information and use of Rajasthani Kutumb of Victoria(Rajkov). Rajkov will not be liable in case this information is being provided to any third party by a member himself/herself. The information collected through this form is in good faith and every care has been taken in preparing this form.  
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