Welcome to Human Rights Cell

Member form

Full Name*

Father Name*

Date Of Birth*

Mobile Number*

Email ID*

Password*

Whatsapp Number*

Aadhar Number*

Profession/Occuption*

Educational Qualification*

Blood Group*

Gender*

Photo*

(PHOTO SHOULD NOT EXCEED 50KB)

Aadhar Card*

(AADHAR SHOULD NOT EXCEED 50KB)

Address*

Country:

State:

District:

pincode:

Are you convicted in any court of law?

Yes No

Is any case pending against you?

yes No

Have you Ever worked in student union/Trade union? Student unions

Yes No

Trade unions

Yes No

Signature*

(SIGNATURE SHOULD NOT EXCEED 20KB)

I agree terms & conditions

Human Rights Cell
Plot No. 334,Visalakshinagar, Visakhapatnam - 530043. Andhra Pradesh, India.
091 07 07 76 76
info@humanrightscell.org