<SOCIETY NAME>

MEMBERSHIP-FORM
2018-19

PHOTO

NAME:..................................................................................................................

DESIGNATION:...................................................................................................

DATE OF BIRTH:................................................................................................

BLOOD GROUP:.................................................................................................

MOBILE NO.........................................................................................................

FATHER’S NAME:..............................................................................................

MOTHER’S NAME:............................................................................................

PARENT MOBILE NO........................................................................................

PERMANENT
ADDRESS:............................................................................................................
................................................................................................................................

CORRESPONDENCE
ADDRESS:............................................................................................................
................................................................................................................................

DATE OF JOINING.............................................................................................
Rules and Regulations:

 All members must follow the rules and regulations and must do your duty
assigned by your leaders.
 Members are must to attend the meetings, if a member is not able to
attend the meetings he/she must notify prior to leaders. Absence will be
fine of Rs. 50.
 Epithet or threatening language towards the leaders, seniors, colleagues
and juniors will be fine with strict action.
 There will be collection of Rs. 50 per month which will be given 15%
medical help from the union.