MDD Trust | Founded by Dr. Md Khairul Islam (Tribal Yogi) – Yoga, Naturopathy & Social Worker, Indian Agriculture & Farmers Development Centre [IA & FDC]

Membership Form

Date Of Membership*

Name*

Date Of Birth*

Blood Group*

Marital Status*

Gender*

Aadhaar No*

Qualification*

Occupation*

Father's Name*

Mother's Name*

Guardian's Name

Permanent Address Country*

State*

City

District*

Police Station*

Post Office

Pincode*

(Area/City/Village/Street/Tahsil*)

Present Address*

Email Id*

Contact No.*

Upload Pic.*

I hereby accept to abide by the present & Future rules and regulations of IA&FDC, A Unit Of MDDT