LMK Nariratn Gourav Purskar 2022

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LMK - Membership Form

संपूर्ण नाव (Name)

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फेसबुक अकाऊंटचे नांव (Facebook Account Name)

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घरचा पत्ता (Resident Address)

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ऑफिस पत्ता (Office Address)

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आधार कार्ड नं.(Adhar Card No.)

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पॅन कार्ड नं.(Pan Card No.)

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इ मेल (Email Address)

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Website Name

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मोबाईल नं.(Whats App)

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व्यवसायाची माहिती (Business Info.)

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सदस्यत्व घेतलेली तारीख ( Enroll Membership Date)

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Invalid Date.

सदस्यत्व रक्कम (Membership Amount)

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550

750

2000

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रक्कम पावती क्र. (Payment ID)

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Transaction ID, UTR No. or Reference No.)

Payment

* Upload Screen Shot

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Your Manufacture/Wholesaler Details

Name

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Mobile No.

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Place

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Declaration

मी असे लिहून देते की माझ्या बिजनेस ची पूर्णपणे जबाबदारी माझी राहील. मी जे काही प्रोडक्टची विक्री करेल आणि त्यामुळे ग्राहकांना काही नुकसान झाले किंवा प्रॉडक्ट मध्ये काही त्रुटी आढळल्यास त्याची सर्वस्वी जबाबदारी माझी असेल. LMK चा तसेच लेक माहेरचा कट्टा या संचालकांचा त्याच्याशी काही संबंध नाही. LMK व त्यातील संचालकांनी फक्त बिझनेस करणाऱ्या महिलांसाठी एक व्यासपीठ उपलब्ध करून दिले आहे.

Please check atleast one option.

Please enter valid data.

Select Your Payment Gateway

Bank Transfer

How you want to pay?

Auto Debit Payment

Manual Payment

Payment Summary

Your currently selected plan : , Plan Amount :

Coupon Discount Amount : , Final Payable Amount:

Submit

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LMK - Membership Form

संपूर्ण नाव (Name)

First Name can not be left blank.

Please enter valid data.

This first name is invalid. Please enter a valid first name.

फेसबुक अकाऊंटचे नांव (Facebook Account Name)

This field can not be left blank.

Please enter valid data.

घरचा पत्ता (Resident Address)

Text field can not be left blank.

Please enter valid data.

ऑफिस पत्ता (Office Address)

Text field can not be left blank.

Please enter valid data.

आधार कार्ड नं.(Adhar Card No.)

Text field can not be left blank.

Please enter valid data.

पॅन कार्ड नं.(Pan Card No.)

Text field can not be left blank.

Please enter valid data.

इ मेल (Email Address)

Email Address can not be left blank.

Please enter valid email address.

This email is already registered, please choose another one.

Website Name

Text field can not be left blank.

Please enter valid data.

मोबाईल नं.(Whats App)

Text field can not be left blank.

Please enter valid data.

Maximum 10 characters allowed.

Please enter valid data.

व्यवसायाची माहिती (Business Info.)

This Field can not be left blank.

Please enter valid data.

सदस्यत्व घेतलेली तारीख ( Enroll Membership Date)

Please select date.

Invalid Date.

सदस्यत्व रक्कम (Membership Amount)

Select Option

550

750

2000

Please select atleast one option.

Please enter valid data.

रक्कम पावती क्र. (Payment ID)

Text field can not be left blank.

Please enter valid data.

Transaction ID, UTR No. or Reference No.)

Payment

* Upload Screen Shot

Upload Screen Shot

Please select file.

Invalid file selected.

(Transaction ID, UTR No. or Reference No.)

Your Manufacture/Wholesaler Details

Name

Text field can not be left blank.

Please enter valid data.

Mobile No.

Text field can not be left blank.

Please enter valid data.

Place

Text field can not be left blank.

Please enter valid data.

Declaration

Please check atleast one option.

Please enter valid data.

Select Your Payment Gateway

Bank Transfer

How you want to pay?

Auto Debit Payment

Manual Payment

Payment Summary

Your currently selected plan : , Plan Amount :

Coupon Discount Amount : , Final Payable Amount:

Submit