ODMM Membership Application

Fill out the form below to apply for membership.

Personal Details

Full Name *

Date of Birth *

Blood Group *SelectA+A-B+B-AB+AB-O+O-Unknown

Contact Details

Mobile Number *

WhatsApp Number *Same as Mobile Number

Email ID *

Address Details

Full Address *

District *Select DistrictAngulBalangirBalasoreBargarhBhadrakBhubaneswarBoudhCuttackDeogarhDhenkanalGajapatiGanjamJagatsinghpurJajpurJharsugudaKalahandiKandhamalKendraparaKeonjharKhordhaKoraputMalkangiriMayurbhanjNabarangpurNayagarhNuapadaPuriRayagadaRourkelaSambalpurSubarnapurSundargarh

Block/NAC *

Police Station *

Pincode *

Professional Details

Name of News Agency *

Nominee Details

Name of Nominee *

Photo Upload *

Choose Photo

JPG / JPEG / PNG. Max size: 5 MB

Payment Details *

Membership Application Fee

₹300

UPI ID: 45152766635@sbi

Scan the QR code using your UPI app to pay ₹300.

Payment Date *

Amount Paid *

UTR / Transaction Reference No. *

I confirm that the information provided by me is true and correct and may be verified by Odisha Digital Media Mahasangha (ODMM) for membership purposes.

Submit Membership Application