Lifetime Bhog Member — 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 Lifetime Bhog Member member, I have to pay Rs. 5,100 (Rupees five thousand one hundred only) per annum.
The Lifetime Bhog Member 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 Lifetime Bhog Member member.

Item	Amount (₹)
Lifetime Bhog Member Membership	₹ 5,100.00
Membership Fee	₹ 5,100.00

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Join the Mandir Family Become a Lifetime Bhog Member 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

₹ 5,100

1 Life Time Bhog member I believe in Lord Shri Jagannath and should volunteer to serve Him selflessly and unconditionally. 2 Life Time Bhog member I understand that for becoming the BHOG MEMBER , I have to pay one-time payment of Rs. 5100 (Rupees five Thousand one Hundred) only . However i will still try to the best of my capacity to financially support the Mandir. 3 The Bhog Member is entitled to avail special Puja with their name and Gotraetc once in a year ( Date / Tithi to be decided by devotee) for life time in one go or by spilitting the day during the same year. He or she will also be entitled to take Anna Bhog Prasad for Two people free of cost on that day.

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 ₹ 5,100 is payable at the time of application.
Lifetime Bhog Member members may avail special Puja on every Sankranti of the month.
Membership is subject to approval by the management committee.

View full terms & conditions →