National People's Party Kerala

NPP Kerala - Membership Application Form

🔔 Notice: This website is under construction. Membership registration will be fully operational soon. Your submission will be securely received and processed.

Personal Details

FULL NAME *

FATHER'S / SPOUSE'S NAME *

DATE OF BIRTH *

GENDER *

Male

Female

Other

Contact Details

MOBILE NUMBER * Enter 10-digit number without country code

ALTERNATE NUMBER

EMAIL ID *

Address Details

HOUSE NAME / NO. *

STREET / LOCALITY *

PANCHAYAT

WARD NO. (PANCHAYAT)

MUNICIPALITY

WARD NO. (MUNICIPALITY)

CORPORATION

WARD NO. (CORPORATION)

LEGISLATIVE ASSEMBLY CONSTITUENCY

PARLIAMENTARY CONSTITUENCY

DISTRICT *

Identification Details

AADHAAR NUMBER * Enter 12-digit number without spaces

DECLARATION

I hereby declare that I believe in the principles, ideology, and constitution of the National People's Party / Kerala Unit and agree to abide by its rules and discipline. I confirm that the information provided above is true and correct to the best of my knowledge.

I agree to the declaration above *

PLACE *

DATE *

✓ Thank you! Your membership application has been received successfully. We will contact you soon with further details.