Application for the membership of OEYR:
               
[
See list of Founder MembersGoverning 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.

 

1.      

Name

:

.

2.      

Date of Birth

:

.

3.      

Father's Name

:

.

4.      

Qualification

:

.

.

5.      

Occupation

:

.

6.      

Present Address

(Office & Residence, both with phone no, fax no.,email address etc.)

:

.

.

.

.

7.      

Permanent Address

(if other than sl.no.4)

:

.

.

8.      

Tick your choice of membership

:

Life Member
               Ordinary Member (For one year)

9.      

Mode of payment

:

Cash

Cheque

Demand Draft

10.  

Declaration

:

 

        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

   
              See list of Founder MembersGoverning Body Members | Life Members  
   

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