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Member Registration
All (*) Fields are Mandatory
Name
*
Gender
*
Male
Female
Date Of Birth
*
Country
*
Choose Country
Afghanistan
Akrotiri
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Ashmore and Cartier Islands
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Bassas da India
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burma
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Clipperton Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Coral Sea Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Dhekelia
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Europa Island
Falkland Islands (Islas Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern and Antarctic Lands
Gabon
Gambia, The
Gaza Strip
Georgia
Germany
Ghana
Gibraltar
Glorioso Islands
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See (Vatican City)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Jan Mayen
Japan
Jersey
Jordan
Juan de Nova Island
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Namibia
Nauru
Navassa Island
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paracel Islands
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
State
*
Choose State
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chhattisgarh
Goa
Gujarat
Haryana
Himachal Pradesh
Jharkhand
Karnataka
Kerala
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Punjab
Rajasthan
Sikkim (SK)
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
District
*
Choose District
Bagalakote
Ballari
Belagavi
Bengaluru Rural
Bengaluru Urban
Bidar
Chamarajanagara
Chikkaballapura
Chikkamagaluru
Chitradurga
Dakshina Kannada
Davanagere
Dharwada
Gadaga
Kalaburagi
Hassan
Haveri
Kodagu
Kolar
Koppala
Mandya
Mysuru
Raichuru
Ramanagara
Shivamogga
Tumakuru
Udupi
Uttara Kannada
Vijayanagara
Vijayapura
Yadgiri
Mobile Number
*
SMS will be sent only to Indian Mobile Number
Aadhaar Number
*
Job Profile
*
Email Address
*
Present Address
*
Permanent Address
*
Same as Present Address
Blood Group
*
--Select--
A+ve
A-ve
B+ve
B-ve
AB+ve
AB-ve
O+ve
O-ve
Photo
*
(Photo Size Max 2MB & accepts only .gif,.png,.jpg,.jpeg)
(Once you select a photo, please wait for the upload.)
Year of UG Completion
(If done at SDM, Udupi)
Year of PG Completion
(If done at SDM, Udupi)
Year of PhD Completion
(If done at SDM, Udupi)
Spouse Name
Child 1 Name
Child 2 Name
Child 3 Name
Parent (Father's) Name
Parent (Mother's) Name
Emergency Mobile Number