agp.org.in Join Online : Asom Gana Parishad Assam

Party : Asom Gana Parishad
Facility : Join AGP

Home Page : http://agp.org.in/home/
Join AGP : http://agp.org.in/home/?com=registration

Join AGP & Membership Form :

Please note that fields marked with Asterisk (*) are mandatory
Payment can be made either by Cash/Cheque /Demand Draft/Direct Bank Deposit as per your convenience

Related :

ASP How to Become a Volunteer : www.electionin.in/228.html

Personal Profile :
** Name *
** Gender
** Male Female
** Date Of Birth *
** (dd-mm-yyyy)
** Occupation & Interests

Contact Information :
** Home Address *
** District *
** PIN *
** Assembly Constituency * Lok Sabha Constituency *
** E mail *
** Mobile No *
** Landline Phone

Membership Details :
I want to apply for primary membership of Asom Gana Parishad (Rs. 5/- which is inclusive of joining fees and membership fees for 3(three) years)
Please check this box if you are interested in associating with any affiliated organization/Cell of AGP Name of Affiliated Organization / Cell :

Payment Details :
** Cash (to be deposited in nearest AGP office with a copy of the Acknowledgement Receipt)
** Cheque/Demand Draft no
** Date
** Bank

Cheque/Demand Draft to be drawn in favour of “Asom Gana Parishad” payable at Guwahati Bank A/C Details : A/C Name : Asom Gana Parishad, A/C No : 33745356003, State Bank of India Silpukhuri (Evening) Branch, (Branch Code : 05606), IFSC Code : SBIN0005606

I declare that :
** I am an Indian Citizen and a permanent resident of Assam
** I am of / above 18 years of age
** I undertake to abide by the constitution , Rules & Discipline of AGP
** I am not a member of any other political party

Download Application Form Here : https://www.electionin.in/uploads/227-MEMBERSHIP_APPLICATION.pdf
(A printout of this completed Application form along with Membership fees to be deposited in nearest AGP Office or mailed to onlinejoining@agp.org.in, in case you are mailing this completed form, please only mention Cheque /DD number(as applicable) in the provided box, the physical copy of Cheque / DD can be submitted or Cash Payment can be made at your nearest AGP Office ; for any queries please call us at :9706069474)
Please note that fields marked with Asterisk (*) are mandatory
Payment can be made either by Cash/Cheque /Demand Draft/Direct Bank Deposit as convenient for you