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NAIR SERVICE SOCIETY DELHI (Regd.) Regd. Office :Plot No.3, Institutional Area, Dwarka, Sector-11, New Delhi-110075 [Registered Under the Societies Registration Act - 1860 (XIII of 1860) Website : www.nssdelhi.org,www.n4nairmatrimony.com E-mail : [email protected], [email protected]
APPLICATION FORM FOR MEMBERSHIP
The General Secretary, Nair Service Society Delhi (Regd.) New Delhi
Sir, I wish to enroll myself as a Member of the Nair Service Society Delhi. I have read the Rules and Regulations of the Society and I hereby solemnly undertake to abide by the same. The Life Membership fee is enclosed. The required details are furnished below:
*Full Name (in Capital Letters) ......
*Date of Birth DD...... MM...... YY...... (Attach copy of Matriculation Certificate)
*Date of Birth (Malayalam Calendar) & Star ………………………………………………………………………………………………………..
*Father’s Name ......
* Address in Kerala ......
......
*Present Address for Communication ……………………………………………………………………………………………………………... (Attach copy of address proof and Identity proof) .……………………………………………………………………………………………………………...
*Tel. No. Res...... Mob......
*Office (Name of the Company & Address) ………………………………………………………………………………………………………..
..…………..……………..……………………………………………………………………………….
Occupation/Profession/Qualification ……………………………………………………………………………………………………………….
E-mail ID...... Ph.Off......
*Blood Group ...... Whether any court/police case is pending against you ……………………………
Family Details (Name of Wife &Children & their Age)......
......
......
Whether applicant can devote time for NSS Work......
If so in what specific field or activity?………………………………………………………………………………………………………………
*Areas of Interest......
(*mandatory fields to be filled)
Place …………………….. Yours faithfully
Date : ...... (Signature)
Encl. : Cash/Cheque No...... dt...... Bank...... drawn in favour of Nair Service Society Delhi (Regd.)
Bank Account No……………………………… ………. Branch………………………………….
I have known this applicant for the last...... years and I recommend that he may be admitted as a Life Member of the Society.
Recommended by a Member of NSS Delhi :...... (Signature)
Name, Address & Tel. No......
……………………………………………………………………………………………………………..
Area Chairman / Secretary Signature of the President NSS Delhi (Regd.) Secretary (Membership) General Secretary NSSDelhi(Regd.)
FOR OFFICE USE
Received an amount of Rs.1000/- Cash/ Cheque No...... on Bank of …………………...... Branch……………………………………. vide receipt No...... dated...... NSSDELHI MEMBERSHIP FORM 2013