Become a member

All information collected will be kept confidential and will not be shared with any third parties. Information entered should be accurate as these details will be included in book/directory published for 42/84 Kadva Patidar Samaj members. Guidelines for filling out New Member Form.

If you are married/divorce/widow/widower, please fill out this New Member Form.
If you are not married, include yourself as a child in your parent's New Member Form.
If husband is not part of 42/84 Kadva Patidar Samaj (4284kps), please start with wife's information in New Member Form below.
Include spouse and children only if their current residence is in Canada.
Please fill out multiple forms per address if you have more than one married couple residing at the same address
If spouse has deceased, please include in the New Member Form and for Prefix drop-down select "Late".
For any help email 4282kpscanada@gmail.com

Member Info

Salutation *

First Name *

Middle Name *

Last Name *

Email-ID *

Phone No. *

Address *

Country *

State *

City *

Town/Village

Zip-Code *

Date Of Year *

Marital Status *

Occupation *

Family Photo *

Password *

Confirm Password *

Add Family Member (Optional)

Salutation

First Name

Last Name

Date Of Birth

Relation

Occupation

Marital Status

Membership Type

Types

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