Membership Application Form -

Please fill out the application form carefully and ensure all details are entered correctly.

To pay the Admission Fee and Subscription, kindly visit the Magna Payment Centre: https://ourmagna.org/magna-payment-centre/

Once the payment is completed successfully, you will receive an auto-generated confirmation message confirming your membership.

Name:

Father's Name:

Mother's Name:

Membership ID:

Mobile Number:

Date of Birth:

Blood Group:

Gender:

Marital Status:

Birth Place:

Mother Tongue:

Name of Spouse:

Date of Marriage:

Spouse's Mother Tongue:

Spouse's Birth Place:

Present Residential Address:

Address at Kerala:

Occupation:

Particulars of Children (Name, Sex, Date of Birth etc.):

Applicant's Membership in Other organizations, if any (Organization Name, Member Since, Current Position):

Brief Profile/Hobbies:

In which Sector you want to support in MAGNA:

Attach Passport Size Photo:

No Choosen File

Attach Aadhar Card:

No Choosen File

Attach a Family Photo:

No Choosen File

Attach Payment Screenshot:

No Choosen File