PRAGATISHEEL RAILWAY MAAL GODAM SHRAMIK SANGH
Office: Rohini Sector-22, House No. 7-8, Pocket-17, New Delhi 110086
Website: www.prmgss.org | E-mail ID: info@prmgss.org | M. 9217239292 | Regd. No.: DRTU/SWD/2026/LAB/63
LEADERSHIP APPLICATION FORM
FORM NO.
FORM NO.
LEADERSHIP DETAILS
LEADERSHIP LEVEL
Select Leadership Level
Zone
Division
Leader State
Goods-Shed
Please select LEADERSHIP LEVEL.
Zone
Select Zone
Central
East Central
East Coast
Eastern
North Central
North Eastern
North Western
Northeast Frontier
Northern
South Central
South East Central
South Eastern
South Western
Southern
West Central
Western
Division
Select Zone First
LEADER STATE
Select Leader State
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chhattisgarh
Goa
Gujarat
Haryana
Himachal Pradesh
Jharkhand
Karnataka
Kerala
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
Andaman and Nicobar Islands
Chandigarh
Dadra and Nagar Haveli and Daman and Diu
Delhi
Jammu and Kashmir
Ladakh
Lakshadweep
Puducherry
GOOD-SHED
Designation
Select Designation
President
Vice President
Secretary
Office Incharge
Organisation Minister
Treasurer
Joint Secretary
Regional Executive Member
Leadership Date
PERSONAL DETAILS
IDENTIFIER ID
Full Name
Father / Husband Name
Mobile Number
Email ID
Password
Category
Aadhar Number
Marital Status
Select Status
Married
Unmarried
Other
Blood Group
D.O.B
Gender
Select Gender
Male
Female
Other
ADDRESS DETAILS
Address
State
Select State
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chhattisgarh
Goa
Gujarat
Haryana
Himachal Pradesh
Jharkhand
Karnataka
Kerala
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
Andaman and Nicobar Islands
Chandigarh
Dadra and Nagar Haveli and Daman and Diu
Delhi
Jammu and Kashmir
Ladakh
Lakshadweep
Puducherry
Pin Code
EDUCATION QUALIFICATION
Exam
Institution / University
10th
12th
Graduation
Other
BANK DETAILS
Bank Name
Branch Name
Account Number
Holder Name
IFSC Code
Type
PHOTO
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SIGNATURE
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LEFT THUMB IMPRESSION
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Aadhar Card Front
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Aadhar Card Back
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E-Shram Card Front
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E-Shram Card Back
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I am
Son of / Daughter of
residing at
as a member of Pragatisheel Railway Maal Godam Sharmik Sangh hereby declare that this membership application form is collected by me along with the applicant's documents and union membership fees.
ID OF IDENTIFIER
IDENTIFIER'S SIGNATURE
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