Membership Registration

163/109, Sec.16, Kumbha Marg, Pratap Nagar, Sanganer-302020

chitraguptsena@gmail.com +91-9828165295 / +91-9828248000

Business Name*

Your Full Name*

Father's Name*

Spouse Name

Your Email ID*

Place of Origin*

Gotra

Date of Birth*

Gender* Male Female

Wedding Anniversary

Blood Group

Mobile No *

Landline No

Address*

PIN code*

Qualification *

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I would like to join / renew my membership of SHRI CHITRAGUPT SOCIETY FOR ENTREPRENEURSHIP NURTURING AND AWARENESS (SCSENA). I will abide by the constitution and list of approved rules and regulation of the SHRI CHITRAGUPT SOCIETY FOR ENTREPRENEURSHIP NURTURING AND AWARENESS (SCSENA). Whenever there is any material change in the above information, I will ensure that the office is informed about it so that further correspondence/contact could be continued if required. *