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.