Welcome to the Youth4Nation Member Enrollment System. Please fill the form below to submit your application for enrollment as a Youth4Nation Member. An OTP E-Mail will be sent to your email to verify the application.

Our Mission:
Youth4Nation is a nationwide initiative to "Engage and Inspire" the youth primarily in the Colleges and Universities, with a mission to inculcate the National pride in the minds of our youth about our great culture, heritage, philosophy, ancestors, history and great strides that India is making in modern times.

Please note that the form auto-saves all the data (Except Profile Photo) whenever data is changed in the form.

Enter your Name along with any salutation such as Mr., Mrs., Dr., Capt., Adm., Cmde., Cdr. etc.
Enter your Email ID
Enter your Phone Number
Enter your desired Youth4Nation Member ID (6 digits or less)
Kindly upload your Passport Size Profile Photo in which your face is clearly visible.

Maximum allowed image file size is 10 MB. Image files with extensions of '.png', '.jpg', '.jpeg', '.gif', '.svg', '.webp' and '.ico' are supported.

Kindly upload your any Photo ID, such as Aadhaar, Driving License, PAN, Passport, Voter ID, etc.

Maximum allowed file size is 10 MB. Files with extensions of '.pdf', '.docx', '.doc', '.png', '.jpg', '.jpeg', '.gif', '.svg', '.webp' and '.ico' are supported.
Enter your Family/Relative Phone Number (in case of emergency).
Enter your address
Select the State/UT where you live (Home State/UT for NRI) Select State. Andaman and Nicobar IslandsAndhra PradeshArunachal PradeshAssamBiharChandigarhChhattisgarhDadra and Nagar HaveliDaman and DiuDelhiGoaGujaratHaryanaHimachal PradeshJammu and KashmirJharkhandKarnatakaKeralaLadakhLakshadweepMadhya PradeshMaharashtraManipurMeghalayaMizoramNagalandOdishaPaschim BengalPuducherryPunjabRajasthanSikkimTamil NaduTelanganaTripuraUttar PradeshUttarakhand

Enter/Select your Date of Birth (DOB)
Select your Gender Select Gender. Male Female

Enter the name of the person who referred you to Youth4Nation along with any salutation such as Mr., Mrs., Dr., Capt., Adm., Cmde., Cdr. etc.
Enter your brief introduction including occupation/professional background (maximum of 5000 characters are allowed)
Select the role(s) you volunteer to perform for the Youth4Nation
Tick    the declaration mentioned below