Registration Form
Club Name
-- Select Club --
Anandapur (225748)
Angul (15986)
Angul Royal (89343)
Athagarh (225961)
Balasore (15990)
Balasore Central (89040)
Balasore-On-Sea (74144)
Baliapal (88493)
Banpur-Balugaon (26039)
Baramunda (88586)
Barbil (88232)
Baripada (15993)
Baripada Heritage (88326)
Baripada Mayur (226387)
Basudevpur (222364)
Berhampur (15996)
Berhampur Central (57868)
Berhampur East (27661)
Berhampur Mid Town (15997)
Berhampur Silk City (52971)
Betnoti (88693)
Bhadrak (15999)
Bhandaripokhari (224179)
Bhanjanagar (79658)
Bhawanipatna (16001)
Bhograi New Vision (225916)
Bhubaneswar (16003)
Bhubaneswar Amity (222281)
Bhubaneswar Angela (223166)
Bhubaneswar Capital (79657)
Bhubaneswar Centennial (67255)
Bhubaneswar Changemakers (223170)
Bhubaneswar Confluence (80091)
Bhubaneswar Eco (222468)
Bhubaneswar Ekamra Kshetra (85560)
Bhubaneswar Elite (58343)
Bhubaneswar Excellence (85377)
Bhubaneswar Flamingo (224175)
Bhubaneswar Friends (84183)
Bhubaneswar Galaxy (223018)
Bhubaneswar Harmony (223039)
Bhubaneswar Heritage (82681)
Bhubaneswar Kalinga (84140)
Bhubaneswar Maitree (226914)
Bhubaneswar Meadows (86036)
Bhubaneswar Metro (56018)
Bhubaneswar Neeladri (91231)
Bhubaneswar New Horizon (76786)
Bhubaneswar North (27452)
Bhubaneswar Patia (226992)
Bhubaneswar Phoenix (226469)
Bhubaneswar Rainbow (227172)
Bhubaneswar Royal (59386)
Bhubaneswar Smile (90854)
Bhubaneswar Sunrise (224893)
Bhubaneswar Temple City (225742)
Bhubaneswar Toshali (51723)
Bhubaneswar Unique (90557)
Bhubaneswar Utkal (90630)
Biraja Kshetra (91232)
Brahmapur Innovative (222237)
Chatrapur-Ganjam (79912)
Chilika-Balugaon (87757)
Choudwar (56058)
Cuttack (16012)
Cuttack Abhinav (88013)
Cuttack Barabati (71957)
Cuttack Cantonment (221894)
Cuttack Central (29247)
Cuttack East (54811)
Cuttack Golden Star (91108)
Cuttack Greater (78954)
Cuttack Greenfield (77991)
Cuttack Mahanadi (86603)
Cuttack Mahanagar (89351)
Cuttack Midtown (16013)
Cuttack Millennium (76968)
Cuttack Radiance (223089)
Dhauli Bhubaneswar (226827)
Dhenkanal (16020)
E-club Coastal Bay of District 3262 (223208)
E-Club of District 3262 (87653)
E-Club of Mahodadhi (223409)
Fellowship Bhubaneswar (224148)
Gopalpur-On-Sea (86065)
Infocity Bhubaneswar (62772)
Jagatsinghpur (25397)
Jajpur (30113)
Jaleswar (25453)
Jaraka (84819)
Jatni (16033)
Jeypore (16034)
Jeypore Pride (223037)
Joda (67975)
Kalinga Nagar (86063)
Karanjia (88701)
Kendujhar Green (88670)
Keonjhargarh (16037)
Khandagiri (224218)
Kharabela-Kalinga Nagar (88645)
Khurda (16041)
Malkangiri (87420)
Midtown Bhadrak (68915)
Muniguda Royal (87880)
Nayagarh (27622)
Nayagarh Excellency (226557)
Paradip (53714)
Passport Club of District 3262 (222568)
Phulbani (16055)
Puri (16056)
Puri Midtown (224886)
Puri Sagar (90395)
Rairangpur Royal (88275)
Rajdhani, Bhubaneswar (223451)
Rayagada (30685)
Saswata Balasore (87039)
Shri Jagannath Dham (55874)
Smart City Bhubaneswar (223224)
Srikshetra Puri (84844)
Subarnnarekha Raibania (90327)
Talcher (223268)
Bhubaneswar Icons (227255)
Brahmapur Creative (227340)
Balasore Unity (227252)
Udala (89699)
Please select club
Designation
Select Designation
Miracle Core Team Members 2025-26
Club President 2025 - 26
Club Secretary 2025 - 26
Assistant Governor 2025-26
Zonal Chair 2025 - 26
Rotarians of 3262
Please select designation
Name
Name is required
Email
Valid email required
Mobile
Enter 10 digit mobile number
Number of Additional Guests
0
1
2
3
4
5
6
7
8
9
10
Please select number of Additional guests
Additional Guest Names
Pay Registration Fee
Scan QR to Pay INR
500
UPI ID: Vyapar.173290920543@hdfcbank
Payee Name: ROTARY CLUB OF BHUBANESWAR NILADRI
Phone Pay / Google Pay: 0000000000
Payment Reference Number / UPI Ref. No.
Payment reference required
Upload Payment Receipt
Please upload receipt
Register
