SHREE IDAR CHAUDASHI TAPODHAN BRAHMAN SEVA SANGH

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* VASTIPATRAK FORM AVAILABLE TO ALL THE MEMBERS
* HON'BLE CHAIRMAN SHRI RAMNIKLAL RAVAL WISHES FOR NEW VIKRAM SAMVANT NEW YEAR
* ALL MEMBERS ARE REQUESTED TO FILL THE VASTIPATRAK FORM BY DECEMBER 15, 2025

HomeVASTIPATRAK-FORM

VASTIPATRAK-FORM

INSTRUCTIONS:

1. FORM HAS TO BE FILLED BY HEAD OF THE FAMILY.

2. PLEASE FILL THE DETAILS WITH CONSENT BASED.

3. PLEASE FILL DETAILS IN ENGLISH.

4. PHOTO TO BE UPLOADED SHOULD BE BELOW 100 KB.

PLEASE CLICK THE BELOW LINK TO COMPRESS IMAGE UPTO 100 KB

https://imagecompressor.11zon.com/en/compress-jpeg/compress-jpeg-to-100kb

YOUR NATIVE PLACE *

YOUR GOTRA *

Prefix

FATHER NAME *

YOUR GRAND FATHER NAME *

SURNAME *

FATHER'S BIRTH DATE

STATUS OF FATHER ? *ALIVEPASSED AWAY

DATE OF DEATH *

UPLOAD FATHER'S PHOTO (100KB LIMIT)

No file chosen

YOUR MOTHER NAME *

YOUR GRAND FATHER NAME (MATERNAL) *

YOUR GRANDFATHER'S SURNAME (MATERNAL) *

MOTHER'S BIRTH DATE

STATUS OF MOTHER ? *ALIVEPASSED AWAY

DATE OF DEATH *

UPLOAD MOTHER'S PHOTO (100KB LIMIT)

No file chosen

RELATION WITH HEAD OF THE FAMILY (SELF) *SELF

Prefix

First Name *

Middle Name *

SURNAME *

GENDER *MALEFEMALE

BIRTH DATE *

SELECT NATIONALITY *

YOUR MARITAL STATUS *SINGLEMARRIEDWIDOWDIVORCEE

MARRIAGE DATE *

MOBILE NUMBER *

IS YOUR NUMBER ON WHATSAPP ? *YESNO

DO YOU WISH TO DISPLAY YOUR PHONE NUMBER IN PUBLIC IN VASTIPATRAK ? *YESNO

EMAIL *

DO YOU WISH TO DISPLAY YOUR EMAIL ID IN PUBLIC IN VASTIPATRAK ? *YESNO

YOUR EDUCATIONAL QUALIFICATION *BELOW SSCSSCUPTO 12THGRADUATEPOST GRADUATEDIPLOMAPROFESSION

YOUR WORKING STATUS *STUDENTNOT WORKING / UNEMPLOYEDSERVICE / JOBBUSINESS / SELF EMPLOYEDHOUSEWIFERETIRED

PLEASE SPECIFY DEGREE

DO YOU WISH TO JOIN AS AN VOLUNTEER FOR SOCIAL ACTIVITY ? *YESNO

SELECT DAYS AVAILABLE FOR SOCIAL ACTIVITY *MONDAYTUESDAYWEDNESDAYTHURSDAYFRIDAYSATURDAYSUNDAY

BUILDING NAME / PLOT / WING *

STREET / CITY *

DISTRICT *

State/Province/Union Territory *

ZIP / Postal Code *

Country *

UPLOAD YOUR PHOTO (100 KB LIMIT)

No file chosen

RELATION WITH HEAD OF THE FAMILY (WIFE AND CHILDREN)

RELATION WITH HEAD OF THE FAMILY *WIFEUNMARRIED SONUNMARRIED DAUGHTER

Prefix

First Name *

GENDER *MALEFEMALE

BIRTH DATE *

SELECT NATIONALITY *

MOBILE NUMBER *

IS YOUR NUMBER ON WHATSAPP ? *YESNO

DO YOU WISH TO DISPLAY YOUR PHONE NUMBER IN PUBLIC IN VASTIPATRAK ? *YESNO

EMAIL *

DO YOU WISH TO DISPLAY YOUR EMAIL ID IN PUBLIC IN VASTIPATRAK ? *YESNO

YOUR EDUCATIONAL QUALIFICATION *BELOW SSCSSCUPTO 12THGRADUATEPOST GRADUATEDIPLOMAPROFESSION

PLEASE SPECIFY DEGREE

YOUR WORKING STATUS *STUDENTNOT WORKING / UNEMPLOYEDSERVICE / JOBBUSINESS / SELF EMPLOYEDHOUSEWIFERETIRED

DO YOU WISH TO JOIN AS AN VOLUNTEER FOR SOCIAL ACTIVITY ? *YESNO

SELCT DAYS FOR SOCIAL ACTIVITY? *MONDAYTUESDAYWEDNESDAYTHURSDAYFRIDAYSATURDAYSUNDAY

UPLOAD YOUR PHOTO (100 KB LIMIT)

No file chosen

ADD FAMILY MEMBER REMOVE FAMILY MEMBER

RELATION WITH HEAD OF THE FAMILY (SIBLING)

RELATION WITH HEAD OF THE FAMILYUNMARRIED BROTHERUNMARRIED SISTERWIDOW DAUGHTER IN LAW

Prefix

First Name

Middle Name

SURNAME

GENDERMALEFEMALE

BIRTH DATE

SELECT NATIONALITY

MOBILE NUMBER

IS YOUR NUMBER ON WHATSAPP ?YESNO

DO YOU WISH TO DISPLAY YOUR PHONE NUMBER IN PUBLIC IN VASTIPATRAK ?YESNO

EMAIL

DO YOU WISH TO DISPLAY YOUR EMAIL ID IN PUBLIC IN VASTIPATRAK ?YESNO

YOUR EDUCATIONAL QUALIFICATIONBELOW SSCSSCUPTO 12THGRADUATEPOST GRADUATEDIPLOMAPROFESSION

PLEASE SPECIFY DEGREE

YOUR WORKING STATUSSTUDENTNOT WORKING / UNEMPLOYEDSERVICE / JOBBUSINESS / SELF EMPLOYEDHOUSEWIFERETIRED

DO YOU WISH TO JOIN AS AN VOLUNTEER FOR SOCIAL ACTIVITY ?YESNO

SELCT DAYS FOR SOCIAL ACTIVITY?MONDAYTUESDAYWEDNESDAYTHURSDAYFRIDAYSATURDAYSUNDAY

UPLOAD YOUR PHOTO (100 KB LIMIT)

No file chosen

ADD FAMILY MEMBER REMOVE FAMILY MEMBER

CONSENT *

Yes, I agree with the privacy policy.

CLICK HERE FOR VASTIPATRAK FORM

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