Application form for membership of a Multidimensional Educational Technical & Research society
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recent
Passport
Photograph
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To
The president/secretary
Multidimensional Educational
Technical & Research Society
Subject:
Application for admission as a membership of the Multidimensional Educational
Technical & Research society.
Dear
Sir/ Mam,
I wish to apply for admission as
a membership of above my particular are as under:
Corporate
Member (Donation Rs………………..) Founder Member (Donation
Rs………………….)
Patron
Member (Donation Rs. ………………..) Life
Member (Donation Rs. ………………………)
Special Member (Donation Rs. ………………) Worker Member
(Donation Rs. ………………….)
My Personal particulars are as follows:
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1.
Name of the applicant: ………..........................................................................................................
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2.
Father’s/husband name :………………………………………………………………………………………………………
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3.
Permanent address: ………………………………………………………………………………………………………..
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4.
Correspondence address :…………………………………………………………………………………………......................
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5.
Date of birth :……………………………………………………………………………………………………….
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6.
Occupation: ……………………………………………………………………………………………..…………
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7.
Phone no. with code :………………………………………………………………………………………………………
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8.
Email id :………………………………………………………………………………………………………
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9.
Pan no.(attach self attested copy ,if
available):………………………………………………………….
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10.
Caste, where the membership of a society is
restricted to any caste or community
(Attach the caste certificate) :……………………………………………………………………………………
Educational Qualification
Professional Experience:
Are
you a donor member of Multidimensional Educational Technical & Research
Society?
If
so, please write your ID No./ Receipt No:. ……………………………………………………
1. I certify that:
I.
I unconditionally subscribe to the aims &
oblectives of the society and contribute
towards attainment of the same.
II.
I will abide by the Byelaws of the society, as
applicable and amended from time to time.
III.
I have not been convicted of an offence involving
moral turpitude involving imprisonment.
2.
I am enclosing herewith the following documents.
I.
Copy of _________________________________towards
proof of Identity .
II.
Copy of ________________________________towards
proof of Address.
III.
Copy of
________________________________towards proof of date of birth.
IV.
Copy of caste certificate (required only where a
society has limited its membership in its byelaws to the members of
particular caste or community).
V.
DD/pay order/cheque no. _______________dated
________________for Rs ____________drawn in favour of towards membership fee.
VI.
DD/pay order/cheque no. _______________dated
________________for Rs ____________drawn in favour of towards annual
subscription for the year___________________.
VII.
Two passport size and one stamp size photographs:
I
request you to kindly admit me as a________________________ (type of
membership) member of the society
Thank
you
Dated
________________________ yours faithfully
Place
________________________ (signature of the applicant)
Recommendation
of a regular member of the society (if provide in the byelaws)
I
recommend admission of sh. _______________________
s/o_____________________________ aged
_________________years
R/o _ _______________as ordinary/ life member of the society.
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