REGISTRATION FORM

Members of Lodges in RGLSI need to select their name from the dropdown. Their details will be fetched from the database.

Attn, members of RGLSI : The member dropdown will list only those members whose Dates of Initiation, Passing and Raising are available on REGAL. If your name is missing on the member dropdown, please get in touch with your Lodge Secretary, to verify your data.


REGISTRATION PARTICULARS
Donor Registration is inclusive of Spouse

TRAVEL AND ACCOMODATION

    After selecting the date, click on the clock icon at the base to select the time


FOOD PREFERENCE

EMERGENCY CONTACT

SPECIAL INSTRUCTIONS

SPOUSE DETAILS

SELECT SIZE FOR COMPLIMENTARY T SHIRT
Donors will be presented with a T-Shirt. Patrons will be presented with a T-Shirt and Regular Shirt.

REMITTANCE PARTICULARS

INSTRUCTIONS



Cheque should be drawn in favor of RGLSI AIM 2024

In case of payment by Cheque / Demand Draft, kindly mention your name and RGLSI ID on the reverse of the Cheque / DD

BANK ACCOUNT FOR REMITTANCE

Name of A/c : RGLSI AIM 2024
Bank : Kotak Mahindra Bank
Branch : Trichy Road, Coimbatore
A/c Type : Current A/c
A/c No. : 1348 3238 13
IFSC Code : KKBK0008664

UPI ID : 0798664A0122449.bqr@kotak