Saturday, 16 June 2018


                                          Membership Form of Multidimensional 
Application form for membership of a Multidimensional Educational           Technical & Research society


Paste your
recent
Passport
Photograph
here
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:


Name of the applicant: ……….........................................................................................

Father’s/husband name :…………………………………………………………………………………………….

Permanent address: ……………………………………………………………………………………………………

Correspondence address :…………………………………………………………………………………………...

Date of birth :……………………………………………………………………………………………………………

Occupation: ………………………………………………………………………………………………………………

Phone no. with code :………………………………………………………………………………………………..

Email id :…………………………………………………………………………………………………………………..

Pan no.(attach self attested copy ,if available):………………………………………………………….

Caste, where the membership of a society is restricted to any caste or community
 (Attach the caste certificate) :……………………………………………………………………………………




Educational Qualification


Sl.No
Education Record
School / College
Board/ University
% of
Marks
Year

























Professional Experience:

Sl.No
Position
Working Field
Organisation
From
To













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.


Signature of the member:  ………………………………………………….

Name of the member: ………………………………………………………..

Membership no. :………………………………………………………………..

Date :…………………………………………………………………………………..

place :…………………………………………………………………………………



Decision of the Governing Body:
Sh .______________________________S/o ________________________aged ________________Years
R/o_______________________________________ is admitted as ordinary life member of the society w.e.f _____________under membership no. _____vide resolution bearing no. ____________in the meeting of the governing body held on) _________________
He may be issued an identity card of the society & his name may be entered in the Register of Members:
Dated: ____________________                                                                                Secretary/President

Place: ____________________

NOTE: The duration of membership of special member shall be 2 years and of the worker members it shall be 1 year.



NOTE : How to donate/ co-operate :

1. Person willing to be member of Multidimensional Educational Technical & Research Society can deposit his/ her Membership Form along with Cheque/ D.D. in favour of Multidimensional Educational Technical & Research Society, drawn at any bank branch in Lucknow .

2. Person willing to be member of can also deposit requisite Multidimensional Educational Technical & Research Society, amount of donation in Account No.
……………………….. I.F.S.C./ R.T.G.S. Code- ………………………….branch of Bank of HDFC or A/C No. …………………….., send his/ her Membership

Willing persons can also use Internet Banking/ Mobile Banking to transfer requisite donation amount while using aforementioned Account No. & I.F.S.C./ R.T.G.S. Code.

3. Desirous person can also made ON-LINE donation on our website www.multidpublication.in

Rules, Aims & Objectives, Multidimensional Educational Technical & Research Society 

1. Membership will be given in the name of one single person, which will normally be non-transferable. In the event of death of a member of Multidimensional Educational Technical & Research Society,  shall have the right to take any decision on the application of his natural heir for transferring the membership.

2. The membership of Multidimensional Educational Technical & Research Society  will be absolutely personal which will be conferred on a particular for full
compliance with the following rules.

4. The donation for the membership of Multidimensional Educational Technical & Research Society is fully non-refundable.

5. If a member conducts himself in violation of the rules and aims of Multidimensional Educational Technical & Research Society  or is found involved in an activity tamishing the image of this Organization, he shall automatically cease to be a member.

TERMINATION OF MEMBERSHIP
1,   A member may resign from membership of the  Multidimensional Educational Technical & Research    Society and upon acceptance of his resignation by the Executive Committee, he shall cease to be a member.

2,     The annual subscription of member shall become due on 1st April of each year. If the subscription is not paid
within 60 days from the 1st April of each year, the member will be deemed to be a defaulter. If any member fails
to pay his subscription beyond the period of 60 days from 1st April of each year, the Secretary shall issue a
notice calling for payment through certified post of such dues within 30 days and if payment is not made within
the said 30 days from the date of receipts of the notice, the member shall cease to be a member of the
Association.

3,     A member who causes damage or prejudice to the Association or who does not comply with the rules and
regulations of the Association may be expelled from membership of the Association by a resolution of the
Executive Committee, Passed at a duly convened meeting and supported by atleast ¾ of members present.
The voting on the resolution shall be by Secret Ballot. The President shall have a casting vote.










For office use only

Category of Membership (Tick whichever is applicable)
Corporate Member (Donation Rs. ………….)             Founder Member (Donation Rs. ………………….)
Patron Member (Donation Rs. ………………)            Life Member (Donation Rs. ………………………..)
Special Member (Donation Rs………………)             Worker Member (Donation Rs. …………………...)

Date : __________________
Application received on: ____________ From Mr./ Ms. /Mrs./ Dr./ Prof./________________________
______________________________________Subscription received on:____________ Approval dated:
____________________ Receipt No.:____________________ For Rs _________________ (In Words )
______________________________________________________________________________toward
s __________________________________________________________________________________
Through _____________DD No________________ Dated ___________________ Drawn on ________
____________________________________________________________________________________





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