Membership Form - Bangabasi Mithila Samaj Samity

Personal Details

Full Name *

Date of Birth *

Gender *

Male Female Other

Marital Status

Anniversary Date

Mobile Number *

Email *

Blood Group

Photo Upload

Click to upload photo

Address & Native Roots

Current Address

Address Line 1 *

Address Line 2

Country *

State *

City/District *

Pincode *

Native Address (Mithilanchal Roots) *

Native Village *

Panchayat

Block

District *

State

Country

My native village name is same as current address city

Professional Details

Profession *

Business Employed Retired Student Homemaker

Business Details

Business Name

Business Type

Employment Details

Organization Name

Designation

Years of Experience

SPOTLIGHT

Featured Business

Mithila Handlooms - 20% off for members Learn More

COMMUNITY CHOICE

Member Business

Maithili Sweets - Grand opening this Sunday Visit Store

Family Details

Father's Information

Father's Name *

Father's Occupation

Mother's Information

Mother's Name *

Mother's Occupation

Spouse Information

Spouse Name

Spouse Occupation

Children

Add Child

Choose Your Membership Plan

Select the plan that best suits your needs

Samarth Member

₹100 /year

Basic community access
Event participation
Community support

General Annual

₹1,000 /year

All basic benefits
Voting rights
Directory listing

Three-Year

₹2,500 /3 years

All annual benefits
3 years fixed rate
Priority event access

Patron Member

₹10,000 /year

All benefits included
Name in patron list
Special event access

Contributor

₹11,000+ /year

All patron benefits
Name in annual report
Special mention

Life Member

₹15,000 one-time

Lifetime benefits
Lifetime voting rights
Life member certificate

Payment Summary

Membership Fee: ₹0

GST (18%): ₹0

Total Amount: ₹0

Declaration

I declare that the information provided is true and correct

I agree to abide by BMSS rules and regulations

Darbhanga Raj - The Royal Legacy

Madhubani Art of Mithila

Vidyapati - Maithil Kavi Kokil

Maharaja Rameshwar Singh

Surendra Jha 'Suman'

Become a Member

Personal Details

Address & Native Roots

Current Address

Native Address (Mithilanchal Roots) *

Professional Details

Business Details

Employment Details

Family Details

Father's Information

Mother's Information

Spouse Information

Children

Choose Your Membership Plan

Payment Summary

Declaration

Darbhanga Raj - The Royal Legacy

Madhubani Art of Mithila

Vidyapati - Maithil Kavi Kokil

Maharaja Rameshwar Singh

Surendra Jha 'Suman'

Our Valued Partners

Become a Member

Personal Details

Address & Native Roots

Current Address

Native Address (Mithilanchal Roots) *

Professional Details

Business Details

Employment Details

Family Details

Father's Information

Mother's Information

Spouse Information

Children

Choose Your Membership Plan

Payment Summary

Declaration