Personal Details

Name*

Mobile Number*

State*

AICC Delegation*(Only for the following category of members)

Elected AICC Member

Co-Opted AICC Member

Final amount in ₹ * AICC annual Subscription fee ₹ 3000
Congress Fund ₹ 1000
Contribution to AICC ₹ 600
National Herald Subscription ₹ 2000

Gender*

Address*

Pin Code*

Facing issue with selfie camera,Click here for step-by-step instructions

I certify that the information provided above is correct and there is no mistake. I acknowledge that all further communication will be based on the details shared by me.