Phone

9695259346

E-Mail ID

mail@nhrsb.org

Member Registration

Salutation *

Full Name (As per ID Proof): *

Father’s/Mother’s/Husband’s Name *

Relationship*

Gender *

Male
Female
Others

E-Mail *

Date *

Month *

Year *

Blood Group *

Highest Qualification *

Profession *

Mobile Number *

Alternate Mobile

Telephone/Landline

Marital Status *

Nationality *

Password *

Confirm Password *

Current Address

Address *

House/Flat/Street No *

Country *

State *

District/City *

Village/Town *

Police Station *

Post Office *

Pin Code *

Permanent Address

Same as Current Address

Address

House/Flat/Street No.

Country

State

District/City

Village/Town *

Police Station *

Post Office *

Pin Code *

Additional Details

Are you a member of any professional associations *

Yes No

If yes, please provide association name and your designation

Address where Membership welcome kit needs to be sent: *

Current Address Permanent Address

Aadhar Number (Optional):

PAN Number *

Has the Applicant been the member of NHRSB in Past *

Yes No

Are you Currently Member, or previously been a member of any other Non-Profit organisation*

Yes No

If yes (Please Mention the Organization Name/Address)

Has the Applicant been involved with any social activities in the past

Yes No

If yes (Please Mention such activities carried out and your role)

Professional Experience (If any)

Do you have any professional experience*

Yes No

If yes ( Please list your professional experience, including past employment, positions held, and relevant skills or qualifications)

Do you have any Preference*

Yes No

If yes (for the kind of work he/she would like to get involved in National Human Rights Security Bureau:)

Whether the candidate willing to take the leadership roles under National Human Rights Security Bureau, ( Central Office/State Offices/Regional/District/Block Level )

Yes No

Upload Documents

(Please ensure that documents are self-attested. Applications with unattested documents will be rejected.)(Upload only 200kb files)

1. Front Side – ID Proof (Other than PAN Card)*

Choose a file…

2. Back Side – ID Proof (Other than PAN Card)*

Choose a file…

3. PAN Card – Max 200 KB*

Choose a file…

4. Passport Size Colour Photograph (In Formal)*

Choose a file…

References and Witness Details :

Please provide the names and contact details of two references who can vouch for your character and abilities:

Name *

Relationship *

Contact Number *

Payments

Member Type *

Payment Amount

Payment Mode

Bank Name *

Transaction Number *

Transaction Date*

I here by declare that all the above information is true and I have read and accept the Terms & Conditions

Account Details

Name of the Account: NATIONAL HUMAN RIGHTS SECURITY BUREAU
Account number : 43054328177
Branch Name : USKA BAZAR
Branch IFSC : SBIN0002624

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