SR SELF STUDY ZONE & LIBRARY

📝 Membership Registration Form

Fill in your details below to register for library membership. Please ensure all details are accurate.

👤 1. PERSONAL INFORMATION

Personal

Full Name *

Parent / Guardian Name *

Date of Birth *

Gender *

Residential Address *

📞 2. CONTACT DETAILS

Contact

Contact Number * Primary 10-digit mobile number

Emergency Contact Number * Parent/guardian contact for emergencies

Email Address * Used for portal login and membership confirmation

🆔 3. IDENTIFICATION

ID Proof

ID Proof *

ID Proof Number *

🎓 4. EDUCATION

Academic

Education Level *

Preparing For *

📚 5. MEMBERSHIP DETAILS

Plan & Slot

Membership Slot *

Subscription Plan *

Slot Timing *

Joining Date *

🔐 6. CREATE YOUR PORTAL PASSWORD

Secure & Case-Sensitive

Create Password *

Passwords are case-sensitive.

Confirm Password *

💳 7. REGISTRATION FEE & PAYMENT METHOD

₹150.00 Fixed

Registration Fee

One-time membership registration fee

₹150.00

Select Payment Method *

💳 Online Payment (₹150)

⚡ Instant Activation & Login

Pay ₹150 via UPI / Card / Netbanking. Verified on server. Automatically approved & active for immediate login!

💵 Cash Payment (₹150)

⏳ Pay at Library Desk

Submit registration now and pay ₹150 cash at the counter. Account activates after admin confirms payment.

✅ Online Payment Selected: Pay ₹150 through our gateway. Student ID generated and account activated immediately upon verification!

📜 DECLARATION

"I hereby declare that the information provided is correct and I agree to abide by the rules of the library." *