Customer Information

Provide basic information about the customer.

Full Name *

Address

Email Address

Phone Number *

Date of Birth *

Membership Plan

Review the membership plan and included benefits.

No active membership plan is available right now.

Membership Benefits

Benefits included with the membership plan.

Membership benefits will appear here.

Declaration

Confirm acceptance before payment submission.

Plan Start Date

Signature Name

Declaration Date

I accept the membership terms, benefits, payment amount, and validity period.

Payment

Scan the QR, enter the transaction reference, and upload payment proof for admin verification.

Scan and pay Pay the payable membership amount using this QR scanner. Amount to pay: - After payment, enter the UTR / transaction reference number and upload the payment screenshot. Amount will be verified by admin.

Open any UPI app and scan the QR.
Pay the payable amount shown here.
Enter UTR and upload the screenshot below.

Only QR payment proof is accepted right now. Membership stays pending until admin verification.

Payment Mode *

Payment Date

UTR / Transaction Reference No *

Payment Proof * Required for QR payment verification.

Remark

Membership Summary

Select a plan

Price: -
Discount: -
Validity: -
Payable: -

Amount payable -

Membership DetailsSelect plan and member profile

Payment ProofRequired on payment step

Admin VerificationActivation after payment check