Home About Us Who We Are? Board Members Contact Us Gallery News Events Upcoming Events Past Events Contribute Donation Sponsorship Member Service Become a Member Member Directory Sad Demise Form Shraddhanjali Scholarship Login Become a Member Home Become a Member KPS Samaj Membership guide lines. 42/84 Kadva Patidar Samaj (4284kps) New Member Form All information collected will be kept confidential and will not be shared with any third parties. Information entered should be accurate as these details will be included in book/directory published for 42/84 Kadva Patidar Samaj members. Guidelines for filling out New Member Form If you are married/divorce/widow/widower, please fill out this New Member Form If you are not married, include yourself as a child in your parent's New Member Form If husband is not part of 42/84 Kadva Patidar Samaj (4284kps), please start with wife's information in New Member Form below. Include spouse and children only if their current residence is in USA Please fill out multiple forms per address if you have more than one married couple residing at the same address If spouse has deceased, please include in the New Member Form and for Prefix drop-down select "Late" For any help email 4284kps@gmail.com Member Info Salutation Mr Miss Mrs Ms First Name* Middle Name Last Name* Occupation Phone No. Email-ID* Address City State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip-Code Date Of Birth Village* Ambavada Aminpura Anvarpura Bobha Chandrala Chekhala Chiloda Dabhoda Dehgam Dharisana Ghadkan Hajipur Himmatnagar Jakhora Jinjava Karol Katpur Kherol Lavarpur Majra Mamroli Nananpur Navanagar Oran Patelpura Prantij Prantiya Rasulpur Sadra Salal Salatpur Sampa Sanoda Shahpur Shiholi Sonasan Tajpur Vadvasa Marital Status Unmarried Married Profile Image Password* Confirm Password* Add Family Member Salutation Mr Miss Mrs Ms Late First Name Last Name Date Of Birth Relation Spouse Son Daughter Occupation Marital Status Unmarried Married Add Family Members Membership Type Types Lifetime Member : $101/- Executive Member : $1001/- Trustee Member : $2501/- Register as Member
