Membership Form First Name *Last NameEmail Address *Phone *Street Address *Apartment, suite, etcCityState/ProvinceZIP / Postal CodeCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre & MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweOccupation *Date of Birth *Gender *MaleFemaleMembership Class *Foundation Class – ₹1000Growth Class – ₹2000Vision Class – ₹5000Legacy Class – ₹10000Upload Aadhar Card Front *Choose FileNo file chosenDelete uploaded fileUpload file Aadhar Card Back *Choose FileNo file chosenDelete uploaded fileLatest Photo *Choose FileNo file chosenDelete uploaded fileTerms & ConditionsTerms & Conditions for Membership Proton Education Trust (Registered under Indian Trust Act, with 80G, 12A & NITI Aayog registration) By applying for paid membership in Proton Education Trust, the applicant agrees to the following legally binding terms and conditions: 1. Membership Categories & Fees Membership shall be granted under the following categories upon payment: Foundation Class – ₹1000 (Validity: 1 Year) Growth Class – ₹2000 (Validity: 3 Years) Vision Class – ₹5000 (Validity: 5 Years) Legacy Class – ₹10000 (Validity: 5 Years) Membership fees are non-refundable and non-transferable under any circumstances. 2. Eligibility Criteria Applicant must be 18 years or above. Must be of sound character and not involved in any criminal, anti-national or anti-social activities. Trust reserves the right to accept or reject any membership application without assigning any reason. 3. Rights & Benefits of Members Members will receive a Certificate of Membership with unique ID. Right to participate in trust’s events, seminars, awareness programs, and volunteering activities. Diamond and Gold members may be considered for leadership roles, advisory positions or special delegations (subject to availability and trust’s discretion). Members will be invited to annual recognition programs and exclusive briefings. ⚠️ Membership does not grant any voting rights or legal ownership in the trust’s operations, funds, or decision-making. 4. Duties & Conduct Members are expected to: Promote the values and mission of the trust in society Maintain respectful and non-political conduct in public or during trust programs Not use the trust’s name, logo, or documents for any personal, commercial, or unauthorized purpose Follow all guidelines issued by the trust regarding events, campaigns, and media Violation of conduct may result in temporary suspension or permanent termination of membership without refund. 5. Data & Privacy All personal information shared during registration will be stored securely and used only for internal purposes, such as communication, event invitation, and certification. The trust follows basic data protection norms and does not sell or misuse personal data. 6. Termination Clause The trust reserves the right to terminate membership at any time in case of misconduct, fraud, or misrepresentation. Members may voluntarily withdraw, but no refund or certificate cancellation will be entertained post-withdrawal. 7. Legal Jurisdiction All matters related to membership shall be governed by the laws of India.In case of any dispute, the jurisdiction shall lie with the courts located in [Your Trust’s City / District]. By submitting the membership form and fee, the applicant confirms that they have read, understood, and agreed to the above terms and conditions in full. terrms *I agree to the above terms and conditions of Proton Education Trust membership.qrcodeBank Detail: Account : Proton Education Trust Account Number : 0395000100213024 IFS code: PUNB0039500 Bank Name: PNB Branch: Phulera First Take Screen Short of this Qr code and than make payment. Please Send Screen Short After Payment To Whatsapp : 9928167550Submit