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Application for the membership of OEYR:
[See
list of
Founder Members |
Governing Body Members |
Life Members]
If you want
to become a member of OEYR, please fill the following application form and
send at the following address along with the requisite
membership fee.
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1.
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Name
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: |
…………………………………………………. |
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2.
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Date of Birth |
: |
…………………………………………………. |
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3.
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Father's Name |
: |
…………………………………………………. |
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4.
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Qualification |
: |
………………………………………………….
…………………………………………………. |
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5.
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Occupation |
: |
…………………………………………………. |
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6.
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Present Address
(Office & Residence, both with phone no, fax no.,email address
etc.) |
: |
………………………………………………….
………………………………………………….
………………………………………………….
…………………………………………………. |
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7.
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Permanent Address
(if other than sl.no.4) |
: |
………………………………………………….
…………………………………………………. |
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8.
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Tick your choice of membership |
: |
 Life
Member
Ordinary
Member (For one year)
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9.
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Mode of payment |
: |
Cash
Cheque
Demand
Draft |
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10.
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Declaration |
: |
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I hereby declare that I have fully gone through
the Rules and Regulations of the Society (OEYR) & will abide by
them.
Also, all the information
furnished above are correct to the best of my belief and knowledge.
Signature
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