| Details of Member |
| |  |
| Membership No. | : | 19 |
| Member Type | : | Sanrakshak |
| Name of Member | : | * |
| Father's Name | : | |
| Date of Birth | : | |
| Education | : | |
| Shashan | : | |
| Spouse Name | : | |
| Children | : | |
| Business | : | |
| Bonafide | : | |
| Address | : | Jagdish Timber Traders, Railway Yard, Dhamtari |
| District | : | Raipur |
| State | : | Chattisgarh |
| Contact No. | : | |
| Inspiration By | : | |