Join Us India Wants Mamata Di India Wants Mamata Di (IWM) Membership Form Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Blood Group *Blood GroupA+B+AB+O+A-B-AB-0-OtherOtherIf other Blood Group, please specify.District *DistrictCoochbeharJalpaiguriAlipurduarsDarjeelingKalimpongNorth DinajpurSouth DinajpurMaldaMurshidabadBirbhumEast BurdwanWest BurdwanBankuraPuruliaJhargramEast MedinipurWest MedinipurNadiaNorth 24 ParganasSouth 24 ParganasHowrahHooghlyNorth KolkataSouth KolkataOtherOtherFor states other than West Bengal, please specify the name of the District in 'Others' option.Assembly Constituency (Vidhan Sabha) *Facebook Link *Twitter Link *Instagram LinkKoo LinkWhatsapp Number *Alternative Phone number (if any)Languages Proficient *EnglishBengaliHindiOtherOtherIf Proficient in other Languages, please specify.Highest Educational QualificationHighest Educational QualificationXth StandardXIIth StandardGraduatePostgraduatePhDOtherOtherIf Highest Educational qualification is other, please specify.Date of Birth *Sex *SexMaleFemaleOtherI will abide by the rules and regulations of the IWM community and swear allegiance to Mamata Banerjee and Trinamool Congress. *YesSubmit