Become a Member

Personal Details

First Name *

Middle Name

Last Name (Surname) *

Blood Group *

Mobile Number *

Gmail / Email *This will be your login ID.

Password *

Confirm Password *

Address

Full Address *

State *

City *

Photo & Signature

Passport Size Photo *

Photo

Clear front-face photo, plain background. It is auto-cropped to passport size.

Signature *

Signature

Background removal Sign on plain white paper with a dark pen and take a photo. The background is removed automatically — if lines look broken move the slider right, if paper marks remain move it left.

Membership Duration

1 YearAppointment Letter & Press ID valid for 1 year 2 YearsAppointment Letter & Press ID valid for 2 years

Validity starts from the day the admin approves your membership.

Review & Payment

Payment: online payment will be added soon. For now, submit your application — our office will contact you about the membership fee. Your membership becomes active after admin approval, then you can download your Appointment Letter and Press ID Card.

I confirm the details above are correct and I agree to follow the editorial guidelines, ethics and policies of Kharghar Taloja Rising.