BKJS New Membership Application

Before You Begin: Document Checklist

Please ensure you have the following documents ready before starting your application:

Aadhar Card (Front and Back)

Active Mobile Phone Number (need to have digital copy)

Active Email Address (need to have digital copy)

Passport Size Photograph (Digital)

Caste Certificate (Optional)

Preview: sample of official BKJS Member ID

BKJS Member ID — front view sample — Front

BKJS Member ID — back view sample — Back

Already a registered BKJS member? No need to fill this form again — you can update your details (name, address, contact, photo, family members) directly. Update My Profile

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Section 1: Personal Information

Full Name

First Name*

Middle Name

Last Name*

Gender*

Male Female Other

Date of Birth*

Age

Varna/Caste*

(Please provide supporting documents if required)

Surname*

Gothra

Vamsha

Veda

Kuldevi

Kuldevata

Father's Name

Mother's Name

Marital Status*

Single Married Separated Divorced Widowed

Preferred Language*

This determines your community language group

Section 2: Address Information

Current Address*

Permanent Address*

Same as Current Address

Section 3: Contact Information

Mobile Number*

Enter your mobile number twice for confirmation. The first entry will be hidden after you start typing.

Email Address*

Enter your email twice for confirmation. The first entry will be hidden after you start typing.

Email Verification

Section 4: Identity and Caste Verification

Aadhar Card Details*

Enter 12-digit Aadhar number Upload Scanned Copy of Aadhar Card*

No file selected Aadhar Front Preview

Aadhar Front Preview

No file selected Aadhar Back Preview

Aadhar Back Preview

Caste Certificate

Yes No

No file selected

Profile Photo*

Upload a recent passport-sized photograph (strict 35:45 portrait ratio, min 350x450 px)

No file selected Profile Photo Preview

Section 5: Family Details

Family Members (Max 10)

Emergency Contact Person

Section 6: Declaration

I, , hereby declare that all the information provided in this application form is true and correct to the best of my knowledge. I understand that any false information may lead to the rejection of my application.

Signature

Date

×

Review Your Application

Please review all your details before submission. Click the edit button next to any field to make changes.

Personal Information

Full Name:

Gender:

Preferred Language:

Date of Birth:

Age:

Varna/Caste:

Surname:

Father's Name:

Mother's Name:

Contact Information

Primary Mobile:

Primary Email:

Current Address:

Uploaded Documents

Aadhar Card:

Profile Photo:

Caste Certificate:

Verification

To complete your application submission, please slide the verification slider below:

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Slide to Verify

Terms & Conditions & Privacy Policy

Terms & Conditions

All information provided must be accurate and truthful.
Membership is subject to verification of submitted documents.
The organization reserves the right to approve or reject applications.
Members must abide by the organization's rules and regulations.
Membership fees are non-refundable once approved.
Members are expected to participate in community activities.
Any changes to personal information must be updated promptly.
Violation of terms may result in membership termination.

Privacy Policy

Your personal data will be kept confidential and will not be shared with third parties except as required by law or for membership verification purposes.
All data is stored securely and access is restricted to authorized personnel only.
You may request to update or delete your personal information by contacting the Samaj office.
We use cookies and similar technologies to improve your experience on our website.
By submitting this form, you consent to our data processing practices as outlined in this policy.

By clicking "I Agree", you confirm that you have read, understood, and accepted the above Terms & Conditions and Privacy Policy.

Application Submitted Successfully!

Your membership application has been submitted successfully!

Application ID:

Your Application ID is your tracking reference. Your BKJS Membership ID will be confirmed once an administrator approves your application.

You will receive a confirmation email shortly. Please save your Application ID for future reference.

The approval process typically takes 3-5 business days. You will be notified via email once your application is processed.