Applicant Name

Mother / Father / Husband Name

Gender
---MaleFemaleOther

Date of Birth

Email

Contact Number

How would you like to contribute in Rashtriya Lokneeti
(Please tick at the appropriate - Multiple selection)
By promoting Lokneeti Principles, Values and Agenda through various media.By active promotion in social media platforms.By contributing in content writing.By participating in discussions on thematic areas.By participating in different thematic groups for fine tuning of policies.By identifying right people at different levels to take appropriate roles at different levels.By promoting membership campaigns once Membership Features are active on site.By taking up active roles in national and regional levels.Any others (Please write in the text).

I undertake that

I have willingly opted for volunteering my services for Nation Building through Lokneeti.
I don’t have any criminal background and nor am I bankrupt
I understand that this is not going to be my full time task