I hereby apply for Primary Membership of The PLURALS. My particulars are given below:

Mobile Number *
Full Name *
Gender *
Date of Birth *

Mother's/Father's Name *
Address *
Pincode *
Email ID *
WhatsApp Number *
         same as of mobile number given above
State *
District *

Vidhan Sabha *
Lok Sabha *
Coordinator Reference No
Please mention mobile no of the person who referred you.  

Declaration :

  I am above 18 years.            

  I hereby declare I am citizen of India.            

 I have full faith of party's objective and vision and undertake to abide by the Constitution, Rules and Discipline of the Party.

  I hereby consent to receiving any communication from the party either in writing, electronically and/or in any audio-visual format via phone (including SMS/MMS), email and/or at my address.

  The particulars and statements made above are correct to the best of my knowledge and nothing has been concealed or withheld.

I am herewith paying Rs. 10.00 (TEN RUPEES ONLY) to The Plurals Party, as non-refundable membership fee