Membership Form of Multidimensional
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,
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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Name of the applicant: ……….........................................................................................
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Father’s/husband name :…………………………………………………………………………………………….
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Permanent address: ……………………………………………………………………………………………………
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Correspondence address :…………………………………………………………………………………………...
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Date of birth :……………………………………………………………………………………………………………
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Occupation: ………………………………………………………………………………………………………………
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Phone no. with code :………………………………………………………………………………………………..
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Email id :…………………………………………………………………………………………………………………..
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Pan no.(attach self attested copy ,if available):………………………………………………………….
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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 thar: 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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