Membership Request form

Please fill up the your details and submit the form.

OSA will verify your details and revert back to you for Other details and Membership fees. (For any assistance call Kishore Mishra-9924999500
 

 
Name :  
Surname :  
Company Name :  
House no/Appartment Name :  
Street/Nearest Landmark :  
Area / PO :  
City :  
PIN Code :  
Phone Number (Off) :  
Phone Number (Res) :  
Mobile :  
Your Email :  
Membership type (life / Annual) :  
Your message :  
 
*All Fields are Required
 
 

 

ORISSA SOCIO-CULTURAL ASSOCIATION

c/o General Secretary

601/ Regency Tower,Vastrapur, Ahmedabad-380015

E Mails: osa@orissa-ahm.org; oca_ahm@yahoo.co.in