Regional Grand Lodge of Southern India

REGISTRATION FORM - AIM 2025 at Vijayawada

Attn : Members of Lodges in RGL Southern India - please select your name from the drop down list of members.
You can search by name, mobile, email
You address, mobile and email will be fetched automatically on the form

Constitution

Region

Lodge

Title

Name

RGLSI Id

Address

City

State

Country

Mobile

Whatsapp (if diff. from Mobile)

REGISTRATION PARTICULARS

Registration

Registration Amount

SPOUSE DETAILS
Please tick if Spouse is Attending

Name

Mobile

Attending Ladies Program

TRAVEL
In Arrival Description -FOR TRAINS, type a few characters of the train name or train number. FOR FLIGHTS, type a few characters of your airline or your arrival/destination city

Arrival Date

Arrival Mode

Arrival Description

Departure Date

Departure Mode

Departure Description

Staying at (Name of Hotel)

FOOD PREFERENCE
Please tick the days you are attending

Saturday 1st,March

Mason

Spouse

Sunday 2nd,March

Mason

Spouse

EMERGENCY CONTACT

Contact Person Name

Contact Mobile No

SPECIAL INSTRUCTIONS

Any request / special medical condition to be aware of

REMITTANCE PARTICULARS
For delegates paying online; please select the name of the bank from which you have transfered the funds

Payment Type

Cheque No/Online Transaction No

Bank Name

Amount

Enter Captcha

INSTRUCTIONS

BANK ACCOUNT FOR REMITTANCE

Name of A/c : RGLSI AIM 2025
Bank : HDFC Bank
Branch : 1Town, Vijayawada
A/c Type : Current
A/c No. : 9998 9391 9389 89
IFSC Code : HDFC0000568

UPI ID : rglsiaim2025meet.96134767@hdfcbank

REGISTRATION FORM - AIM 2025 at Vijayawada

BANK ACCOUNT FOR REMITTANCE

Name of A/c : RGLSI AIM 2025 Bank : HDFC Bank Branch : 1Town, Vijayawada A/c Type : Current A/c No. : 9998 9391 9389 89 IFSC Code : HDFC0000568 UPI ID : rglsiaim2025meet.96134767@hdfcbank

Name of A/c : RGLSI AIM 2025
Bank : HDFC Bank
Branch : 1Town, Vijayawada
A/c Type : Current
A/c No. : 9998 9391 9389 89
IFSC Code : HDFC0000568

UPI ID : rglsiaim2025meet.96134767@hdfcbank