Member Registration

New Member Registration

Your Member ID will be generated automatically after submission.

Full Name *

Date of Birth *

Blood Group *

Address *

Taluk *

Phone Number *

Aadhaar Number *

Used only for identity verification. Kept confidential.

Issued Date *

Photo *

JPG, JPEG or PNG. Maximum size 5 MB.

Instant Member ID

A unique ID (e.g. VHP1001) is generated automatically the moment you submit — no waiting.

Printable Photo ID Card

Every member gets a photo ID card with a scannable QR code for quick verification.

Covering All Taluks

Open to members across Ballari, Kurugodu, Sanduru, Siruguppa and Kampli taluks.

Keep your details accurate — your phone number and photo are used to verify your identity for the ID card. Once submitted, contact an administrator to correct any information.