Become an Activist

OSAA MEMBERSHIP

Become an Activist

Complete the form below. Your information is saved immediately for OSAA review. After submission, continue to the secure Razorpay payment page. Approval is completed only after payment is verified.

Personal Information

Full Name * Father's / Husband's Name * Date of Birth Mobile Number * Email Address

Address

Permanent Address * Communication Address District Block Gram Panchayat

How did you know about OSAA?

Social Media Friend / Colleague OSAA Programme Website Other

Documents

Identity Document JPG, PNG or PDF. Maximum 10 MB. Passport Size Photo JPG, PNG or WEBP. Maximum 5 MB.

I agree to the membership terms and conditions and confirm that the information provided is correct.