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Bala Vihar
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Bala Vihar

Membership Form for Bala Vihar Sevaks / Sevikas

Add Your Bala Vihar Information by filling this form and sending it to us.
You will then be able to create a website of your Bala Vihar with information of Children and
Upcoming events for other Bala Vihar members & associates.


Good News!!
Now create your own Bala Vihar site yourself, absolutely free!!
To View Sample Website, Click Here
All the fields are mandatory.
Personal Details of Sevak/Sevika
Salutation
First Name
Last Name
Gender Male   Female
Date of Birth
Phone No.  -  - 
Mobile No.  - 
Email Id.
Address

City
Pincode
Country

Enter below details of the Bala Vihar class conducted by you
Bala Vihar Name
 [ This can be Area name + Bala Vihar. For e.g. Hughes Road Bala Vihar OR you may create a new name for your Bala Vihar. ]
Bala Vihar is located at
 [ Note: If you do not find your Country, State, City, Area in the dropdown menu, enter the same in the 'Other' field. ]
 Other  
 Other  
 Other  
 Other  
Bala Vihar Address
 [ Building/Apt Name, Number, Road Name / Land mark ]
Pincode
Phone No.
E-mail Id.

Your Bala Vihar Sevak/Sevika Identity
Login Id. *Maximum 10 characters 
Password *Maximum 8 characters
Confirm Password
 

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