CRECT Trust — Membership Enrolment

Applicant Details

Full Name *

Date of Birth *

Mobile Number (WhatsApp enabled) *

Email Address *

Residential Address *

Identity, Family & Nominee

Required for formal enrolment

Gender *

Father's / Husband's Name *

Occupation

ID Proof Type *

ID Proof Number *

Passport-size Photo *

No photo
selected

Upload Photo

Used for the membership ID card. JPG or PNG, under 2MB.

Nominee Name *

Relationship

Nominee Contact Number

Preferred Language & Contact Channel

Tamil · WhatsApp English · WhatsApp Tamil · SMS English · Email

Choose Your Membership

Registration fee applies to every plan

Most flexible Individual ID card, event access. Pay on the cycle that suits you. ₹100 / month, billed per cycle

Billing cycle

Monthly Quarterly Half-yearly Annual

Renews yearly Patron Priority access to Trust programmes and welfare schemes. ₹5,000 / year One-time, forever Life Member Full lifetime access — no renewals, ever. ₹10,000 one-time

Support the Welfare Fund

Optional

Add a donation to the CRECT Welfare Fund Goes toward scholarships, emergency grants and family welfare programmes. Donors are recognised separately from membership.

Or enter a custom amount (₹)

List me on the public Donor Wall (display name only, no contact details shown)

PAN Number *

Required to issue a valid 80G tax-exemption receipt for this donation.

Payment & Declaration

Pay Online Now Card / UPI / Netbanking via Razorpay. Membership activates immediately on successful payment. Pay by Cash at Centre Submit this application now, pay at Trichy or Coimbatore centre. Membership activates after admin approval.

Monthly/quarterly/half-yearly Individual memberships will be set up for auto-renewal at checkout, with prior notice before every debit as per RBI guidelines.

Please complete all required fields marked with *, and accept both declarations above.

Application ready

This is a frontend preview — payment integration (Razorpay order creation, receipt email, certificate) connects here next.

Member Counterfoil To Be Active

CRECT
TRUST

📷

Your Name

Individual · Monthly

Membership No.To be assigned

Applicant since—

Valid till—

Registration fee₹500

Membership (Monthly)₹100

Total Payable ₹600

CRECT Trust · Reg. 69/2025
Tiruchirappalli & Coimbatore, Tamil Nadu

CRECT Trust Membership Enrolment

Applicant Details

Identity, Family & Nominee

Choose Your Membership

Support the Welfare Fund

Payment & Declaration

Application ready