Name of Applicant (*)

Sex (*) Male Female

Date of Birth

Permanent Address (*)

City/District (*)

State

Pincode

Temporary Address

Pincode

Phone (*)

Fax

Mobile No

Email Address

Is any one in your home is a Party Member Yes No

Were you a Member of any other Political Party Yes No

I wish to help Enrollment Election Campaign Advocacy Fundraising Volunteering

I have read the Terms and Conditions (*) I have read the Terms and Conditions

• I am an Indian Citizen and my age is over 18 years.
• I am not a member of any other political party and understand that I cannot join another party while remaining a member of the BJP.
• I have read the principles and programmes of the BJP and I believe in them.
• I agree to support consensus based decision-making process, and to engage in constructive debate while respecting the rights of others to express their views.
• I understand that failure to honour above terms could result in cancellation of membership.