Rajasthani Samaj

Dependent 1

Surname Given name

Relationship with main member

Date of Birth of Dependent 1

Date

Please tick the box if you don't want to provide Date of Birth. The dependent will be considered an ADULT for all Samaj events.

E-mail of Dependent 1

Would you like to receive information of non Rajasthani Samaj events on this email?

Yes No

Mobile number of Dependent 1

To receive Samaj whatsapp messages please add +852 62729174 to your contact list.

Add another dependent

Dependent 2

Surname Given name

Relationship with main member

Date of Birth of Dependent 2

Date

Please tick the box if you don't want to provide Date of Birth. The dependent will be considered an ADULT for all Samaj events.

E-mail of Dependent 2

Would you like to receive information of non Rajasthani Samaj events on this email?

Yes No

Mobile number of Dependent 2

To receive Samaj whatsapp messages please add +852 62729174 to your contact list.

Add another dependent

Dependent 3

Surname Given name

Relationship with main member

Date of Birth of Dependent 3

Date

Please tick the box if you don't want to provide Date of Birth. The dependent will be considered an ADULT for all Samaj events.

E-mail of Dependent 3

Would you like to receive information of non Rajasthani Samaj events on this email?

Yes No

Mobile number of Dependent 3

To receive Samaj whatsapp messages please add +852 62729174 to your contact list.

Add another dependent

Dependent 4

Surname Given name

Relationship with main member

Date of Birth of Dependent 4

Date

Please tick the box if you don't want to provide Date of Birth. The dependent will be considered an ADULT for all Samaj events.

E-mail of Dependent 4

Would you like to receive information of non Rajasthani Samaj events on this email?

Yes No

Mobile number of Dependent 4

To receive Samaj whatsapp messages please add +852 62729174 to your contact list.

Add another dependent

Dependent 5

Surname Given name

Relationship with main member

Date of Birth of Dependent 5

Date

Please tick the box if you don't want to provide Date of Birth. The dependent will be considered an ADULT for all Samaj events.

E-mail of Dependent 5

Would you like to receive information of non Rajasthani Samaj events on this email?

Yes No

Mobile number of Dependent 5

To receive Samaj whatsapp messages please add +852 62729174 to your contact list.

Add another dependent

Dependent 6

Surname Given name

Relationship with main member

Date of Birth of Dependent 6

Date

Please tick the box if you don't want to provide Date of Birth. The dependent will be considered an ADULT for all Samaj events.

E-mail of Dependent 6

Would you like to receive information of non Rajasthani Samaj events on this email?

Yes No

Mobile number of Dependent 6

To receive Samaj whatsapp messages please add +852 62729174 to your contact list.

Add another dependent

Dependent 7

Surname Given name

Relationship with main member

Date of Birth of Dependent 7

Date

Please tick the box if you don't want to provide Date of Birth. The dependent will be considered an ADULT for all Samaj events.

E-mail of Dependent 7

Would you like to receive information of non Rajasthani Samaj events on this email?

Yes No

Mobile number of Dependent 7

To receive Samaj whatsapp messages please add +852 62729174 to your contact list.