Dainik Puja Membership — Shri Jagannath Mandir

1 Application Details

Application Form No.

Your Name *

Gotra

Father's / Husband's Name *

Marital Status *

Mobile Number *

Residence Tel No.

Email *

Date of Birth *

Designation / Post (if working)

Present Address *

Official / Business Address *

2 References

Provide details of two persons for reference.

Reference 1

Name *

Mobile Number *

Address *

Reference 2

Name *

Mobile Number *

Address *

3 Documents

Identity Document * Aadhaar, PAN, Voter ID, etc. (PDF or image)

Passport-size Photo * Recent passport-size photograph

4 Terms & Payment

Terms and Conditions

I believe in Lord Shri Jagannath and volunteer to serve Him selflessly and unconditionally.
For becoming a Dainik Puja Membership member, I have to pay Rs. 1,200 (Rupees one thousand two hundred only) per annum.
The Dainik Puja Membership member is entitled to avail special Puja with name and gotra on every Sankranti of the month.

Read full terms & conditions →

I declare that I have read all the above terms & conditions and undertake to abide by the Rules and Regulations of the Mandir Society. I request that my membership may be kindly accepted and I may be given an opportunity to serve at the Feet of Lord Jagannath as a Dainik Puja Membership member.

Item	Amount (₹)
Dainik Puja Membership Membership	₹ 1,200.00
Membership Fee	₹ 1,200.00

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Join the Mandir Family Become a Dainik Puja Membership member and serve at the feet of Lord Jagannath.

Membership Benefits

Special Puja with your name and gotra on every Sankranti of the month.
Access to member portal for profile, payments and mandir updates.
Opportunity to volunteer and contribute to mandir development.

Annual Membership Fee

₹ 1,200

Documents Required

Identity proof (Aadhaar, PAN, Voter ID, etc.)
Passport-size photograph

Terms & Conditions

I believe in Lord Shri Jagannath and volunteer to serve Him selflessly and unconditionally.
Annual membership fee of ₹ 1,200 is payable at the time of application.
Dainik Puja Membership members may avail special Puja on every Sankranti of the month.
Membership is subject to approval by the management committee.

View full terms & conditions →