Registration Form GOUNDERS IN BUSINESS(GIB Erode)New Membership Registration Application formPersonal DetailsName *Father Name *Educational Qualification *Age & Dob *Mobile Number *Email Address *Aadhaar Number *Native Place *Native Place Address *Living Place *Blood Group *Kootam *Kula Deiva Kovil *Name of the Temple Which you are Praying Tax with PlaceMother Name *Mother Kootam *Spouse Name *Spouse Kootam *Spouse Occupation *Spouse Mobile No *Children Name 1Children 1 Age & D.O.BChildren 1 SchoolChildren Name 2Children 2 Age & D.O.BChildren 2 SchoolChildren Name 3Children 3 Age & D.O.BChildren 3 SchoolName of the Business *Year of Establishment *Nature of Business *Generation of Business *Company Address *City *State *Postal Code *Any Branch? Mention with place *Number of employees working in the organizationSole proprietor or partnership?Sole proprietorPartnershipIf partner mention his name & community *Website URLAre you member of any other Organizations? If yes mention name of organization *Your Expectations from GIB *Nature of Membership *Pro+ (Rs.14000/-)Pro (Rs.8000/-)Women's Wing (Rs.6000/-)Referred by (Member Name) *Contact No *DeclarationI hereby affirm that I will abide by the rules and regulations of GIB. My activities and representations will not negatively impact the organization's image. I am committed to truthfully supporting and upholding the organization's reputation within the community.Submit