LBS SOUL WEBOPAC
Instructions to fill Online Membership Form:
Note: Fields denoted by '*' are mandatory.
Academic Information :
*Category :  
*Institute :  
*Department :  
*Course/Designation :  
Personal Information[-]
*Surname
   
*First name
   
*Member Type
 
Member ID
 
*Gender
 
*Year of Joining
   
*Birthdate
Fee Receipt No.
   
*Fee Receipt Date
Remarks
Contact Information[-]
*Permanent Address
 
*City
 
*PIN
   
*Mobile No.
   
Present Address is Same as Permanent Address
Present Address
 
City
 
PIN
   
Phone
   
*E-mail
   
Upload Documents[-]
Only .bmp and .jpg files are allowed with file size less or equal 50kb.
Photograph
Signature
Fee Receipt
I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief and I undertake to inform you of any changes therein , immediately. In case any of the above information is found to be false or untrue or misleading or misrepresenting, I am aware that I may be held liable for it.
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