Become Yuva Mitra of BJYM

Please fill the below form to join BJYM.

Alternately, you can join us via ‘FACEBOOK’

(This FB App will require access to your personal information from your FB profile)



Please fill all (*) marked fields



Registration No.
Name*
Gender*  Male Female
Date of Birth
Father's Name
Address
District
State*
Lok Sabha Constituency
Vidhan Sabha Constituency
Mandal
Phone No.
Email
Facebook ID
Reffered by
Suggestion
I declare that, I wish to be enrolled as a Yuva Mitra of BJYM.
• I shall abide by the constitution of BJP.
• The information given by me in the above form are true.
• I am above 18 years and below 35 years of age and a citizen of India.
• I am not a member of any other political party.
• I have not been charged/convicted for any criminal offence other than political agitation.
I Agree