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Registration ID
Mobile No.
Name of the JSG Gem City Member who Inspired *
:
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Self
ABHAY - ARTI JAIN -383
ABHAY - MAMTA PATNI -729
ABHISHEK - SANJANA JAIN -407
ABHISHEK - SHILPA JAIN -247
AJAY - RITU CHHABRA -347
AJAY - RAKHI GANGWAL -527
AJAY - SANGEETA GODHA -111
AJAY - ABHA JAIN -283
AKASH - RACHNA JAIN -719
AKHIL - SHRUTI JAIN -581
AKSHAY - KAVITA JAIN -743
ALOK JAIN - HEMA JAIN -519
ALOK - SHAILJA JAIN -707
ALOK - REKHA JAIN -341
ALOK - NAMITA JAIN -327
ALOK JAIN - ANU JAIN TIJARIA -439
ALOK - SONAL KASLIWAL -485
ALOK - MUKTA JAIN -685
ALOK KUMAR - MUKTA KOTHARI -767
ALOK - AARTI MITTAL -325
ALOK - MEENU PATNI -25
AMIT BAXI - ANAMIKA BAXI -689
AMIT - RITU JAIN -759
AMIT KUMAR - BINA JAIN -505
AMIT SHAH - NITIKA SHAH -465
AMIT - NISHI SHAH -433
AMIYA - AKANKSHA KALA -751
ANAND - MEENU BAGDA -37
ANAND - VANITA SETHI -457
ANIL - SUNITA JAIN -551
ANKIT – SHRUTI SETHI -657
ANURAG - SURBHI JAIN -489
ANURAG – PRABHA JAIN PANDYA -627
ANURAG - DEEPIKA JAIN -329
ANURAG - KIRTI PATNI -517
ARUN - SEEMA BAGDA -139
ARUN - TARA GOKHROO -157
ARUN - VANI JAIN -597
ARUN - SUMITRA JAIN -449
ARUN - ASHA KALA -451
ARUN - ANJU RANKA -13
ASHEESH - TRIPTI THOLIA -747
ASHISH - SHIPRA BAID -611
ASHISH -MEENAL JAIN -717
ASHISH - NIRU KALA -373
ASHOK - ANITA PATNI -113
ASHOK - UMA SETHI -117
ATUL - NAMRATA JAIN -721
ATUL KUMAR - SHASHI SOGANI -619
ATUL - SAPNA JAIN -737
AVINASH - NILU JAIN -735
BASANT MADHUKAR - DEEPSHIKHA JAIN -503
DEEPAK - PAYAL BILALA -771
DEEPAK KUMAR - VANDANA JAIN -775
DEEPESH - SONALI SOGANI -187
DEVENDRA - JYOTI AJMERA -5
DHARMENDRA - ALKA AJMERA -629
DHARMENDRA - DEEPA JAIN -569
DIGVIJAY - ANITA DHABRIYA -355
DINESH - MITU GODIKA -1
DINESH - INDU JAIN -553
DINESH KUMAR - MITU JAIN (BAJ) -163
DINESH - PRITI SETHI -115
EKANT - SHRADDHA PATNI -725
GIRENDRA - MAMTA TANK -27
HEMANT - PRIYANKA JAIN -711
JAMBU KUMAR - BEENA JAIN -249
JINENDRA - KAVITA JAIN -417
JINENDRA - SHALINI BAKLIWAL -337
JITENDRA KUMAR - SAROJ JAIN -769
JITENDRA - ARCHANA NIGOTIYA -83
KAMAL KUMAR - NIRMALA CHANDWAR -331
KAMAL - ANJULI KOTHARI -129
KAPIL JAIN - MRIDULA JAIN -61
KISHORE KUMAR - REKHA KALA -429
KUSHAL - ALKA PUNGALIA -281
LALIT - MRIDULA PATNI -3
LOVELISH JAIN (DR.)- NEETU JAIN (DR.) -633
MAHAVEER - SARITA SOGANI -733
MAHENDER - VANDANA JAIN -409
MAHENDRA - SHARDA BOTHRA -479
MANI - MANJU JAIN -11
MANISH - SHOBHANA JAIN -209
MANISH - SONAL TANK -413
MANOJ - ANUBHA JAIN -293
MANOJ - BARKHA JAIN -119
MANOJ - SUMAN JAIN -763
MUKESH KUMAR - PRIYA BENARA -593
MUKUL - AMRITA KATARIA -9
NAMIT - KALPNA SETHI -697
NARENDRA KUMAR - SAROJ JAIN -69
NAVEEN - DEEPALI SANGHI -425
NAVEEN - SHASHI SARAWGI -289
NEEL KAMAL - SONIKA JAIN -395
NEERAJ - NEHA GANGWAL -557
NEERAJ - BINDU SETHI -579
NIKHIL - RASHMI BAJ -387
NIRMAL - SHWETA GANGWAL -651
NITIN - MANJU JAIN -151
NITIN - NIDHI SETHI -363
PADAM KUMAR - BHAWANA JAIN -617
PANKAJ - NITISHA BHUTORIA -133
PANKAJ KUMAR -PUJA JAIN -777
PANKAJ - SANGEETA LUHADIA -541
PARAS - SEEMA THOLIA -389
PAWAN - ANIMA GODHA -609
PAWAN KUMAR - ARCHANA JAIN -757
PIYUSH - ANJALI KOTHARI -513
POONAM - BEENA JAIN -459
PORAS - NEHA JAIN -755
PRADEEP KUMAR - PRITEE DEWAN -153
PRADEEP - PREETI PANSARI -53
PRAKASH - PRAMILA JAIN -585
PRAMOD - RACHANA PALAWAT -709
PRASAN KUMAR - RUCHI DHANDIA -681
PRAVEEN - NISHI JAIN -357
PUNEET JAIN - NIDHI JAIN -677
RAHUL - RUCHI CHHABRA -161
RAHUL - SHIKHA JAIN -761
RAJKUMAR - SHASHI JAIN -495
RAJAN - SHIPRA JAIN -461
RAJEEV - MEENAKSHI BAKLIWAL -539
RAJEEV - SEEMA HADA -749
RAJEEV – KAVITA KASLIWAL -659
RAJEEV - KIRAN JAIN -345
RAJENDRA - SARIKA GODHA -89
RAJENDRA - ANITA JAIN -765
RAJENDRA KUMAR - SEEMA JAIN -17
RAJENDRA KUMAR - SHALINI JAIN -499
RAJESH - ANITA JAIN -403
RAJESH - MEGHNA JAIN -291
RAJESH - BEENA JAIN -299
RAJESH - BHAWANA JAIN -693
RAJESH - RENU JAIN NARPATYA -727
RAJESH - SANGEETA KALA -715
RAJESH - SHAILJA SETHI -745
RAJESH - SONU SOGANI -583
RAJIV KUMAR - MADHU JAIN -149
SAROJ RANI AJMERA -21
RAKESH - MAMTA JAIN -35
RAKESH - MANISHA JAIN -501
RAKESH KUMAR - SUNITA JAIN -713
RAKESH - KUM KUM RARA -379
RAVI - RITU AJMERA -19
RAVI - SUPRIYA CHHABRA -257
RAVI - SAPNA JAIN -33
RAVI K. - TRISHLA MEHTA -73
RITESH - SUGANDHA JAIN -241
RITESH - ASHIMA LUHADIA -237
ROHIT - ANAMIKA KATARIA -103
ROHIT – KIRTI KATARIA -631
RUPESH - NIKITA KUMBHAT -699
SACHIN - SARIKA KALA -359
SACHIN - RANI JAIN (SOGANI) -287
SANDEEP - NAMITA CHHABRA -319
SANDEEP - RAKSHA JAIN -285
SANDEEP - RUCHI KATARIA -23
SANJAY - KAJAL CHHABRA -317
SANJAY - SHALINI CHHABRA -555
SANJAY - SMITA JAIN -723
SANJAY - SEEMA JAIN -595
SANJAY - GUNJAN JAIN -411
SANJAY - SARITA KALA -7
SANJAY - MINAKSHI KATARIA -487
SANJAY - KALPANA PHOPHALIYA -321
SANJAY - NEELAM SAH -79
SANJEEV - NUPUR BAKLIWAL -731
SANJEEV - CHANDRIKA JAIN -143
SANJEEV - NEELAM JAIN -441
SATISH - JYOTI JAIN -217
SAURABH - ADITI JAIN -443
SAURABH - KHUSHBOO BAKLIWAL -455
SHAILENDRA - PRIYANKA GODHA -687
SHAILENDRA - NEETU JAIN -125
SHARAD - SANGEETA SOGANI -445
SHOBHIT - JYOTSNA KALA -567
SHRYANSE -SWETA JAIN -741
SIDHARTH - SHILPA JAIN -695
SONAL - HEMLATA LUHADIYA -739
SUDEEP - MADHU THOLIA -59
SUDHIR BAKLIWAL - RANJU BAKLIWAL -15
SUDHIR – SANGEETA SONI -635
SUDHIR - SHILPI THOLIA -135
SULESH KUMAR - NEELU JAIN -297
SUMER CHAND JAIN - CHARU RAWAT -195
SUNIL - MADHULIKA BAKHSHI -31
SUNIL - RAKHI JAIN -245
SUNIL JAIN -405
SUNIL KUMAR - HEMLATA JAIN -773
SUNIL - MADHU SETHI -137
SUNIT - BHARTI BAKLIWAL -193
SURENDRA KUMAR - PRATIBHA PATNI -279
VIJAY - PRIYANKA CHOUDHARY -753
VIJAY KUMAR - SMITA JAIN -179
VIJAY - ALKA JAIN -39
VIKAS - EKTA JAIN -679
VIKAS - MONIKA JAIN -343
VIKRAM - VEENU JAIN -371
VINEET - PREETI JAIN -369
VINOD - ANITA BILALA -339
VINOD - SUMAN KASLIWAL -243
LATE SUDHIR GANGWAL -691
VIPIN - SARIKA VAID -385
VIRAT - MEENU DEWAN -361
VIRENDRA - SANDHYA BAJ -63
VISHAL - ASHMITA GODHA -507
VIVEK - HANSIKA JAIN -637
YOGESH KUMAR - AARTI JAIN -511
If Any Other
:
Name of The JSG Gem City House/Coordinator *
:
Select
Self
ONYX - DEEPESH SOGANI
OPAL - KHUSHABOO BAKLIWAL
AQUAMARINE - SHOBHIT KALA
GARNET - VIVEK PATNI
CORAL - KIRTI KATARIA
BLUE TOPAZ - AKHIL JAIN
LAPIS - VIKAS JAIN
ONYX - DEEPESH SOGANI
AMBER - SACHIN SOGANI
BLUE TOPAZ - AKHIL JAIN
IOLITE - NIKITA KUMBHAT
ONYX - DEEPESH SOGANI
GARNET - VIVEK PATNI
AMETHYST - VIKAS JAIN
AMBER - SACHIN SOGANI
KYNETE - SHRUTI SETHI
AMBER - SACHIN SOGANI
ONYX - DEEPESH SOGANI
PERIDOT - ASMITA GODHA
BLUE TOPAZ - AKHIL JAIN
AMBER - SACHIN SOGANI
KYNETE - SHRUTI SETHI
GARNET - VIVEK PATNI
KYNETE - SHRUTI SETHI
KYNETE - SHRUTI SETHI
BLUE TOPAZ - AKHIL JAIN
AQUAMARINE - SHOBHIT KALA
AQUAMARINE - SHOBHIT KALA
GREEN GOLD - ASHISH BAID
BLUE TOPAZ - AKHIL JAIN
KYNETE - SHRUTI SETHI
OPAL - KHUSHABOO BAKLIWAL
CORAL - KIRTI KATARIA
AMBER - SACHIN SOGANI
ONYX - DEEPESH SOGANI
AMETHYST - VIKAS JAIN
JADE - MEGHNA JAIN
OPAL - KHUSHABOO BAKLIWAL
IOLITE - NIKITA KUMBHAT
BLUE TOPAZ - AKHIL JAIN
GREEN GOLD - ASHISH BAID
LAPIS - VIKAS JAIN
GREEN GOLD - ASHISH BAID
OPAL - KHUSHABOO BAKLIWAL
BLUE TOPAZ - AKHIL JAIN
CITRINE - SANDEEP JAIN
LAPIS - VIKAS JAIN
IOLITE - NIKITA KUMBHAT
OPAL - KHUSHABOO BAKLIWAL
AMETHYST - VIKAS JAIN
PERIDOT - ASMITA GODHA
AQUAMARINE - SHOBHIT KALA
BLUE TOPAZ - AKHIL JAIN
CORAL - KIRTI KATARIA
ONYX - DEEPESH SOGANI
ONYX - DEEPESH SOGANI
ONYX - DEEPESH SOGANI
CORAL - KIRTI KATARIA
PERIDOT - ASMITA GODHA
BLUE TOPAZ - AKHIL JAIN
BLUE TOPAZ - AKHIL JAIN
GARNET - VIVEK PATNI
LAPIS - VIKAS JAIN
OPAL - KHUSHABOO BAKLIWAL
GREEN GOLD - ASHISH BAID
CITRINE - SANDEEP JAIN
IOLITE - NIKITA KUMBHAT
AQUAMARINE - SHOBHIT KALA
IOLITE - NIKITA KUMBHAT
CITRINE - SANDEEP JAIN
LAPIS - VIKAS JAIN
IOLITE - NIKITA KUMBHAT
JADE - MEGHNA JAIN
BLUE TOPAZ - AKHIL JAIN
AMETHYST - VIKAS JAIN
LAPIS - VIKAS JAIN
AQUAMARINE - SHOBHIT KALA
CORAL - KIRTI KATARIA
PERIDOT - ASMITA GODHA
AQUAMARINE - SHOBHIT KALA
JADE - MEGHNA JAIN
KYNETE - SHRUTI SETHI
BLUE TOPAZ - AKHIL JAIN
GREEN GOLD - ASHISH BAID
AQUAMARINE - SHOBHIT KALA
GREEN GOLD - ASHISH BAID
AMBER - SACHIN SOGANI
AQUAMARINE - SHOBHIT KALA
CITRINE - SANDEEP JAIN
PERIDOT - ASMITA GODHA
AQUAMARINE - SHOBHIT KALA
LAPIS - VIKAS JAIN
KYNETE - SHRUTI SETHI
GARNET - VIVEK PATNI
BLUE TOPAZ - AKHIL JAIN
PERIDOT - ASMITA GODHA
GARNET - VIVEK PATNI
ONYX - DEEPESH SOGANI
CORAL - KIRTI KATARIA
KYNETE - SHRUTI SETHI
BLUE TOPAZ - AKHIL JAIN
AMBER - SACHIN SOGANI
CORAL - KIRTI KATARIA
OPAL - KHUSHABOO BAKLIWAL
GARNET - VIVEK PATNI
GARNET - VIVEK PATNI
AMETHYST - VIKAS JAIN
KYNETE - SHRUTI SETHI
IOLITE - NIKITA KUMBHAT
AMBER - SACHIN SOGANI
CORAL - KIRTI KATARIA
CORAL - KIRTI KATARIA
LAPIS - VIKAS JAIN
AQUAMARINE - SHOBHIT KALA
JADE - MEGHNA JAIN
PERIDOT - ASMITA GODHA
ONYX - DEEPESH SOGANI
CITRINE - SANDEEP JAIN
AMBER - SACHIN SOGANI
AMETHYST - VIKAS JAIN
GARNET - VIVEK PATNI
CORAL - KIRTI KATARIA
LAPIS - VIKAS JAIN
GREEN GOLD - ASHISH BAID
GREEN GOLD - ASHISH BAID
PERIDOT - ASMITA GODHA
CITRINE - SANDEEP JAIN
GARNET - VIVEK PATNI
GREEN GOLD - ASHISH BAID
CITRINE - SANDEEP JAIN
JADE - MEGHNA JAIN
GREEN GOLD - ASHISH BAID
KYNETE - SHRUTI SETHI
OPAL - KHUSHABOO BAKLIWAL
OPAL - KHUSHABOO BAKLIWAL
IOLITE - NIKITA KUMBHAT
GREEN GOLD - ASHISH BAID
CORAL - KIRTI KATARIA
IOLITE - NIKITA KUMBHAT
GARNET - VIVEK PATNI
GREEN GOLD - ASHISH BAID
CITRINE - SANDEEP JAIN
JADE - MEGHNA JAIN
PERIDOT - ASMITA GODHA
PERIDOT - ASMITA GODHA
AMETHYST - VIKAS JAIN
IOLITE - NIKITA KUMBHAT
PERIDOT - ASMITA GODHA
PERIDOT - ASMITA GODHA
CORAL - KIRTI KATARIA
CORAL - KIRTI KATARIA
IOLITE - NIKITA KUMBHAT
KYNETE - SHRUTI SETHI
AMBER - SACHIN SOGANI
ONYX - DEEPESH SOGANI
CITRINE - SANDEEP JAIN
CORAL - KIRTI KATARIA
JADE - MEGHNA JAIN
GARNET - VIVEK PATNI
ONYX - DEEPESH SOGANI
AMBER - SACHIN SOGANI
CITRINE - SANDEEP JAIN
JADE - MEGHNA JAIN
AMBER - SACHIN SOGANI
JADE - MEGHNA JAIN
CORAL - KIRTI KATARIA
OPAL - KHUSHABOO BAKLIWAL
CITRINE - SANDEEP JAIN
CITRINE - SANDEEP JAIN
JADE - MEGHNA JAIN
AMETHYST - VIKAS JAIN
OPAL - KHUSHABOO BAKLIWAL
IOLITE - NIKITA KUMBHAT
AMBER - SACHIN SOGANI
GREEN GOLD - ASHISH BAID
AQUAMARINE - SHOBHIT KALA
IOLITE - NIKITA KUMBHAT
KYNETE - SHRUTI SETHI
AMETHYST - VIKAS JAIN
LAPIS - VIKAS JAIN
OPAL - KHUSHABOO BAKLIWAL
CITRINE - SANDEEP JAIN
JADE - MEGHNA JAIN
OPAL - KHUSHABOO BAKLIWAL
VIKAS - MONIKA JAIN
LAPIS - VIKAS JAIN
GARNET - VIVEK PATNI
AQUAMARINE - SHOBHIT KALA
BLUE TOPAZ - AKHIL JAIN
LAPIS - VIKAS JAIN
CITRINE - SANDEEP JAIN
KYNETE - SHRUTI SETHI
VIKAS - MONIKA JAIN
PERIDOT - ASMITA GODHA
LAPIS - VIKAS JAIN
LAPIS - VIKAS JAIN
AMETHYST - VIKAS JAIN
AMETHYST - VIKAS JAIN
AMETHYST - VIKAS JAIN
OPAL - KHUSHABOO BAKLIWAL
PERIDOT - ASMITA GODHA
KYNETE - SHRUTI SETHI
JADE - MEGHNA JAIN
AQUAMARINE - SHOBHIT KALA
ONYX - DEEPESH SOGANI
PERIDOT - ASMITA GODHA
GARNET - VIVEK PATNI
KYNETE - SHRUTI SETHI
Donor Name *
:
*
Mobile No. *
:
*
(XXXXXXXXXX) (Without +91 or 0)
Minimum 10 digit Required.
Donor Father’s / Husband Name *
:
*
Sex *
:
Male
Female
Age *
:
Date of Birth *
:
(DD/MM/YYYY)
Address *
:
*