Be a Member

Membership Form

Gender: MaleFemale

Date of Birth: Age:

Blood Group:

Lifetime Membership Fees:

Mode of Payment:

(Visit DONATE page, to get our Bank Details)

*If payment made through Cheque/Draft, then

Cheque/Draft No.:

Chq/DD Issue Date:

Bank Name, Branch:


Yes I want to be a LIFE MEMBER of NKBT to work for the cause of a needy poor as a part of social responsibility within the guideline of the Trust. I hereby certify that all the information given in this form are correct.

Benefits of being a member

For being an honored invitee to the  functions and programs of NKBT.

  • To get your names displayed prominently.
  • To gain association with specialists and other medical personnel and experience a typical social status.
  • To expect personal services and cooperation from the trustees in times of calamitous situations.
  • By continuous and regular participation in all the activities of the Trust a member can aspire to become a trustee in course of time.
  • Every year get the privilege to get operated of a poor needy cataract patient from your area at free of cost.

After registering the membership form, Member need to send any two of the following documents (Voter ID, PAN Card, Aadhaar Card or Driving Licence) to us along with a Recent Passport Size Photograph, through Post/Courier.

Nirmala Kruti Bikash Trust
A/28, Nilakantha Nagar, Nayapalli

Bhubaneswar – 751012

View All Members


Member’s Message

By participating in community health programs organized by NKBT I experienced great deal of mental satisfaction and inexplicable joy and I appeal others to become members and gain similar experience.

Mr. Priyabrata Samal. Manager AZPIL, India.