Online Membership Form — PAU Kisan Club (Regd.)

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Membership & Identity Card Form

ਪੀ.ਏ.ਯੂ. ਕਿਸਾਨ ਕਲੱਬ (ਰਜਿ:) · Kairon Kisan Ghar, PAU, Ludhiana – 141004

Receipt / Old Membership No. (if any)

Date

First Name *

Middle Name

Surname *

Father / Husband Name *

Address Line 1 *

Address Line 2

District *

Pin Code

Blood Group

Date of Birth *

Aadhaar Card No. *

Phone No. *

Alternate Phone No.

E-mail

Membership Type *

Ladies Wing?

* A copy of your Aadhaar card and a recent passport-size photo must accompany the printed form when submitted at Kairon Kisan Ghar. An incomplete form will not be accepted.

Your email client should now be open with your details filled in — please review and hit send. If nothing opened, use "Print / Save as PDF" instead and email the file to info@paukisanclub.com.

This online form does not charge any fee or store your data on a server — it simply prepares your details to email or print. Membership is confirmed only after the fee is paid and the form is verified at Kairon Kisan Ghar.