Register Yourself for Vijay Shankhnad YUVA Sangam
District Assembly
Ward/Mandal    
*Name *Fathers name *Surname
Address
*District *City/Taluka *PIN
Sex    
Phone (O) Phone (R)
*Mobile
E-Mail 1 E-Mail 2
Date oDate of Birth   e.g. Birthday 15/08/1947
Occupation Education
Remarks
                         
Contact BJYM Gujarat : Shri Hiteshbhai Patel (General Secretary), Mobile : +91 99 25 07 77 50, Shri Hirenbhai Hirpara (General Secretary), Mobile : +91 98 79 64 47 58
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