KERALA JAYCEES SANGAMAM APPLICATION FORM

Select Zone *

Whether your Local Organization is a member of SRPF*

Select Name of LO *

Type Name of LO *

Are you a LO President*

Are you a current ZGB Member*

Are you a Past NGB Member*

Early bird registration till 20^th November, 2024 @ ₹750 &
thereafter from 21^st November, 2024 onwards ₹900

Pay Through Bank Account

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I hereby declare that the above information are true and complete to the best of my knowledge and nothing has been concealed or distorted.

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