Membership Form

To become a life member of utkal sanskrutika samaj You have to pay ₹1500/-(Fifteen Hundred Rupees only)

Membership Form

Membership form

Name of Member(Required)

First Last

Date of Birth(Required)

Blood Group(Required)

Residential Address

Address(Required)

House No(Required)

Town(Required)

City(Required)

State(Required)

Country(Required)

Zip/Postal code(Required)

Phone Number(Required)

Email(Required)

Official Address

Address

Building No

Town

City

State

Country

Zip/Postal Code

Phone Number

Permanent Address

Address

House No

Town

City

State

Country

Zip/Postal Code

Phone

Name of the family Members

Name Of the family Members

Name the Person

Relation with Member

Hobbies and Areas of Interest(optional)

Introduced By Sri

Membership Number

Accept rules and regulations(Required)

I will abide by the rules and regulations of the Utkal Sanskrutika Samaj.

About Us

Utkal Sanskrutika Samaj, also known as Utkal Cultural Society, is a cultural organization based in Visakhapatnam (Vizag), Andhra Pradesh, India. The society aims to promote and preserve the cultural heritage of Odisha (formerly known as Utkal) and provide a platform for people of Odia descent living in Vizag to connect, celebrate, and showcase their cultural traditions.

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   Behind All India Radio,
       Waltair Uplands
       VISAKHAPATNAM-530003,
       ANDHRA PRADESH
+91 891 2528818
[email protected]