Registration Form

Name *

Password *

Gender *

Registration Type *

Date of Birth *

Mobile Number (Primary) * This will be your primary contact number.

Year of Passing *

Qualification *

Branch/Specialization *

Blood Group

Full Address *

Aadhaar Number *

Pin Code *

Email Address *

Supported formats: JPG, PNG, GIF. Max size: 2MB

Preview will appear here

I agree to the Terms and Conditions and Privacy Policy of BHUDEV HUMAN WELFARE FOUNDATION. *

Safe & Secure UPI Transfer

Bank & Branch: AXIS BANK, RANDESAN BRANCH, Gandhinagar.

Transaction ID *

Payment Screenshot * Upload the screenshot of your payment

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