Eminence Library - Registration Form

Section 1 of 5

Member Information

Select Eminence Library Branch *

What is your name? (Type in CAPITAL LETTERS) *

Mobile Number *

Email Id *

Date of Birth *

Gender *

Male Female

Address *

Section 2 of 5

Choose Timings

I Shift (Morning 7:00 AM To 1:30 PM) II Shift (Noon 2:00 PM To 11:00 PM) Full Day (Morning 7:00 AM To 11:00 PM)

Choose your fee as per your shift *

I Shift - ₹ 700 II Shift - ₹ 700 Full Day - ₹ 1000

Section 3 of 5

Upload your latest picture

Section 4 of 5

Select ID Proof *

Aadhaar Card Pan Card Driving License Student ID Other ID

Upload Aadhaar Front Side Image

Upload Aadhaar Back Side Image

Upload ID Image

Enter Custom ID Name *

Upload ID Image

Section 5 of 5

I declare that all the information given by me is correct and I will be held responsible for any wrong information, Do you agree with this? *

Yes No