Date of Birth
State / UT ---Andhra PradeshAndaman and Nicobar IslandArunachal PradeshAssamBiharChandigarhChhattisgarhDadra and Nagar Haveli and Daman and DiuDelhiGoaGujaratHaryanaHimachal PradeshJammu and KashmirJharkhandKarnatakaKeralaLadakhLakshadweepMadhya PradeshMaharashtraManipurMeghalayaMizoramNagalandOdishaPuducherryPunjabRajasthanSikkimTamil NaduTelanganaTripuraUttar PradeshUttarakhandWest Bengal
I have read and understand the vision document, aims and objectives and methodology of the Party as per the Constitution. I fully agree with them. I will participate in the activities and programs of the Party.
I promise and declare that:
I am an Indian citizen and my age is above 18 years. I am not a member of any other political party. I will fulfill the aims and objectives of the Party through my words and deeds. I will contribute to the Party fund. I will abide by the discipline of the Party and will not do any act, which will be detrimental to the Party. In case of any indiscipline, the Party is entitled to cancel my Membership