Prabhu Bank Limited Name: Gorkha Tajukot Sewa Samaj MICR Code: 2222080011848306
Membership Form
Member's Name*
Permanent Address*
Present Address*
Mobile No.*
Email Address
Father's Name*
Mother's Name*
Grandfather's Name
Grandmother's Name
Spouse's Name
Child's Name If multiple separate with comma
Occupation
Citizenship/Passport No.
Date of Birth
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