Become a Member — Society Enrolment Performa

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Life Member

₹ 3,000

One-time lifetime payment

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Annual Member

₹ 500

Billed annually

school

Student Member

₹ 200

Valid student ID required

person Personal Information

Passport Size Photograph *

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3 : 4 RATIO

Passport Size

Upload Recent Passport Photograph (3:4 Portrait Ratio)

📐 3:4 Aspect Ratio 👤 Head & Shoulders Visible 📁 JPG / PNG / WebP

Photo Instructions: Please upload a clear, front-facing portrait photo in 3:4 ratio (standard passport size, 3.5 cm × 4.5 cm). Ensure your full face and shoulders are clearly visible against a clean background. This photo will be printed on your official Society Membership ID Card and Member Directory.

upload Browse / Upload Photo

Salutation

Full Name *

Date of Birth

Gender

Nationality

Blood Group

call Contact Details

Mobile Number *

Alternate Phone

Email Address *

home_pin Present Address

House / Village / Street *

P.O.

P.S. / Block

District *

State

PIN Code

Country

work Professional / Academic Details

Highest Qualification

Occupation / Profession

Institution / Organization Name

Designation / Post

Area of Specialization

local_florist Orchid Interest & Background

Interest in Orchids *

Hobbyist / Enthusiast Researcher / Scientist Conservation Volunteer Educator / Teacher Grower / Nurseryman Other

Brief Background / Experience with Orchids

How did you know about the Orchid Society of Assam?

payments Membership Fee Payment & Bank Details

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Official Society Payment Accounts

Please transfer the appropriate membership fee (Life: ₹3,000 · Annual: ₹500 · Student: ₹200) via UPI or Bank Transfer using the official details below:

qr_code_2 Option 1: Scan & Pay via UPI

Official Orchid Society of Assam Payment QR

UPI ID

9101312783m1@pnb

account_balance Option 2: Direct Bank Transfer (NEFT / IMPS)

Account Holder Name

Orchid Society of Assam

Bank Name & Branch

Assam Gramin Vikash Bank, Silapathar

Account Number

7004010104593

IFSC Code (5th char is zero)

PUNBORRBAGB

info After making your payment, please fill in the Transaction / Reference ID below so we can verify and confirm your enrolment.

Mode of Payment *

Transaction / UTR / Reference ID *

Payment Note (if any)

Declaration: I hereby declare that the information furnished above is true and correct to the best of my knowledge and belief. I agree to abide by the rules and regulations of the Orchid Society of Assam.

I agree to the declaration above and consent to having my information stored by the Society.

Your application will be reviewed by the admin committee. You will be notified once it is approved. The assigned Member ID will be shared after approval.

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Application Submitted!

Thank you for applying to join the Orchid Society of Assam. Your enrolment application is now under review. The admin committee will verify your details and approve your membership shortly.

Ref: OSA-APP-XXXX

Keep your reference number safe. For queries, contact us at 9101312783.

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