The Taarak Mehta Ka Ooltah Chashmah team is looking for worthy participants to join us in the TMKOC My Clean India Campaign
(Swachh Bharat Abhiyaan). Kindly fill in the enrolment form below to help us know you better:

Personal Information

Gender

Female Male 

Relationship Status Single Married 


(Are you a part of any NGO or social organization/club? If yes, state names)

Professional Information

Monthly Household Income (in INR)
0 – 10, 000 10, 001 – 20, 000 20, 001 – 40, 000 40, 001 - 60, 000 60, 001 – 80, 000 80, 001 – 1, 00, 000 1, 00, 001 + 

Educational QualificationSchooling up to (4 years) Schooling till Class 10th Schooling till Class 12th College Graduation College Post- Graduation 

References

Reference 1

Reference 2

About You

Disclaimer

'By opening this statement, reading it from top to bottom and then ticking the “I Agree Box"I acknowledge that I have read and understood this DISCLAIMER. By such actions, I further agree to abide by any and all terms contained in this statement. My Clean India' campaign is a nationwide initiative launched by our honorable Prime Minister Mr. Narendra Modi on October 2, 2014 to fulfill Mahatma Gandhi's vision of a clean & healthy India by his 150th birth anniversary in 2019.
TMKOC My Clean India is an endeavor by Neela Tele Films Pvt. Ltd. to support the present Indian Prime Minister, Shree Narendra Modi ji’s Swachh Bharat Abhiyan.
As a part of our endeavor we have uploaded a form for the TMKOC My Clean India Campaign. By providing your information you acknowledge that the information provided by you in the TMKOC Swachh Bharat Abhiyaan Enrollment Form (“Form”) available on the TMKOC – My Clean India website (http://www.TMKOCMyCleanIndia.com), is valid and authentic and is being provided on your own free will on a voluntary basis.
Prior to furnishing the personal information in the Form, you agree and understand that your personal information will be used for any and all purposes, if and when required by Neela Tele Films Pvt. Ltd. in context with the TMKOC – My Clean India Contest/Campaign and/or otherwise and the same shall be disclosed to any other entity and/or any third party affiliated and/or associated to the Swachh Bharat Abhiyan. It is further clarified herein that Neela Tele Films Pvt. Ltd. holds any and all rights to contact you and/or your references via call and/or e-mail and/or letter and/or in any other manner using the particulars submitted by you in the Form. In particular, Neela Tele Films Pvt. Ltd. and/or, its affiliates, and their respective directors, officers, employees, shareholders, vendors, partners, contractors, agents, licensors or other representatives and all of their successors and assigns shall not be liable to you or anyone else for any loss and/or damage and/or injury suffered by you that arises out of the use of such personal information provided by you and you shall further indemnify Neela Tele Films Pvt. Ltd. and its parties against the same.


 I Argee To All Terms & Conditions