Join Us

1. Please fill form below

Please fill up form given below,
that way we can understand more about you and your interests.

2. Pay Registration fee

Membership Registration Fee : 100 Rs

World Peace Centre Youth Mission
Internet Payment [NEFT]:
Bank A/c No. - 053020110000177
IFSC code- BKID0000530

Payment through DD :
In the favor of “World Peace Centre Youth Mission” payable at MIT, Pune

3. Confirm your membership

Confirm your membership by Calling

Mr. D. Phaltankar
Associate co-ordinator
+91 9881419796

Mrs. M. Kondhalkar
Asst. Secretary
+91 9923694597


 

Member- Registration Form






Applicant Name (required)

Date of birth

Your Email (required)

Age

Gender

Age

Photo


Professional Qualification

Educational Qualification

Languages Known

Name Of Organization/College


Permanent Address

City/Town

Pin

Phone No.

Fax

Moblie No.


current Address

City/Town

Pin

Phone No.

Fax

Moblie No.


Membership


Area of interest

I allow World Peace Center youth mission to contact me for future communication on above details. Above details are true and valid.