1 Personal & Address Info

2 Offline Payment Details

Apply for Membership

Complete details to submit your application for review & approval.

Personal Information

Full Name *

Father's Name

Mobile No. *

Email ID

Religion

Age *

DOB

Sex *

Occupation *

Family Members

Blood Group

Passport Photo

Max 2MB (JPG or PNG)

Address Information

PIN Code *

P.O. (Post Office)

P.S. (Police Station)

District

Assembly

Block

Pooling Booth

Identity Verification Details

Identity Type (Required if no attachment)

Identity Number (Required if no attachment)

Identity Proof Attachment (Required if no number)

Upload ID Copy (JPG, PNG, PDF)

Offline Payment Details

Membership requires an offline payment. Please transfer to the bank account below or scan the UPI QR code, then input details below.

Direct Bank Transfer

State Bank of India

Account No: 398201004589

IFSC Code: SBIN0001234

Holder Name: Prasadam Old-Age Home

Scan & Pay via UPI

Prasadam Elder Care & Tithibhoj UPI

Open your favorite UPI app to scan and pay

Transaction ID / Reference Number

Payment Screenshot / Receipt Proof

Upload payment confirmation (JPG, PNG, or PDF)

Application Submitted!

Thank you for applying for membership. Your application and offline payment details are currently under review. Admin will approve your membership and issue your official Member ID Card upon verification.

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Our Projects & Services

Residential Old-Age Home & Elder Care

Free Community Health Camps

Eye Check-Up & Preventive Health

Counselling & Emotional Wellness

Dietitian & Nutrition Consultation