Member Registration

Fill out the form below to become a member of National Human Rights Corporation

Applicant Name *

Guardian Name *

Relation with Guardian *

Marital Status *

Date of Birth *

Gender *

Blood Group

Address Line 1 *

Address Line 2

Landmark

Police Station *

District *

State *

Country *

PIN Code * Must be exactly 6 digits

Mobile Number * Must be exactly 10 digits

Email Address * Must be a valid email address

WhatsApp Number * Must be exactly 10 digits

Same as Mobile Number

Aadhar Number * Must be exactly 12 digits

Document Type *

Educational Qualification

Document Front Copy * Max size: 2MB (JPG, PNG, PDF)

Document Back Copy * Max size: 2MB (JPG, PNG, PDF)

Passport Size Photo * Max size: 1MB (JPG, PNG)

Copy of Police Verification (Optional) Max size: 2MB (JPG, PNG, PDF)

Select Membership Package *

District Membership - ₹1,499.00 (12 Months)

State Membership - ₹2,499.00 (12 Months)

National Membership - ₹5,999.00 (12 Months)

I hereby declare that all the information provided by me is true and correct to the best of my knowledge. *