Member Registration

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Username *

Password *

Should contain 6 Characters minimum Capital Letter Number Symbol

Confirm Password *

Password does not match

Email *

Member Gender *

Male Female

Member First Name *

Member Last Name *

Address *

Member Age (Month & Year Only)*

Profession *

Phone Number *

Member Type *

Individual Family Senior Couple

Spouse Detail

Spouse First Name

Spouse Last Name

Spouse Gender

Male Female

Spouse Age (Month & Year Only)

Would your Spouse like to Volunteer?

Yes No

Children

Child 1 First Name

Child 1 Last Name

Child 1 Gender

Male Female

Child 1 Age (Month & Year Only)

Would Child-1 like to Volunteer?

Yes No

Child 2 First Name

Child 2 Last Name

Child 2 Gender

Male Female

Child 2 Age (Month & Year Only)

Would Child-2 like to Volunteer?

Yes No

Enter the code *

I Agree to RANA Terms and Conditions

Help

Step 1:

Fill in the form and select your membership.

Step 2:

Administrator will Receive an email and will approve your account.

Step 3:

You can then login to your account using username and password you selected using this form.

Step 4:

After login, securely make payment for membership you selected.

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Member Registration

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