DAINIK PUJA MEMBERSHIP REGISTRATION

JAGANNATH MANDIR, TYAGRAJ NAGAR DELHI

Application Form No

Your Name

Father's / Husband's Name

Marital Status

Mobile - Number

Residence Tel No

Your Email

Date of Birth

Designation / Post if working

Present Address

Official / Business AddressOfficial / Business Address

Give name of two persons for reference

Name

Mobile Number

Address

Terms and Conditions

• I believe in Lord Shri Jagannath and should volunteer to serve Him selflessly and unconditionally
• I understand that for becoming the DAINIK PUJA MEMBER , I have to pay Rs. 1200 (Rupees Twelve Hundred only) per annum. However i will still try to the best of my capacity to financually support the Mandir.
• The Dainik Puja Member is entitled to avail special Puja with their name and Ggotra etc in every Sankranti of the month.

Declarations

I, Name , declare that, I have read all the above mentioned terms & conditions and I hereby undertake to abide by the same Rules and Regulations of the Mandir - Society. I further request that my membership may be kindly accepted and I may be given an oppertunity to serve at the Feet of Lord Jagannath as a DAINIK PUJA MEMBER

Membership Fee = ₹ 1200/-

DAINIK PUJA MEMBERSHIP REGISTRATION

JAGANNATH MANDIR, TYAGRAJ NAGAR DELHI

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