Membership

Fill this form and You get new Membership

    Name
    Father’s Name
    Mother’s Name
    Date of Birth
    Email ID
    Phone No (Not CUG provided by Deptt)
    User ID (To be created by the applicant)
    Educational Qualification
    Name of Graduating College / Institution
    Year of Graduation
    Branch
    Name of Post Graduating College / Institution (if applicable)
    Branch of Post Graduation (if applicable)
    Year of Post-Graduation (if applicable)
    Any Other Qualification
    Name of College / Institute for any other Qualification
    Year of Qualification
    Entered in PHED (Month & Year)
    Entered in PHED as
    Present Designation
    Present Place of Posting
    Upload Profile Pic
    Membership Fee to pay
    ₹2100 (Twenty one hundred only)
    Bank Account Details: –

    Bank : Punjab National Bank
    Branch : Bapu Nagar Jaipur.
    Acc. No : 0247000100191733
    RTGS / NEFT IFS Code : PUNB0024700

    UPI Transaction ID (12 digits)