Application form for membership of the Senior Citizens' Forum HayatabadAnnex-AApplication form for membership of the Senior Citizens' Forum Hayatabad(1) Name (in block letters)…………………………………..
(2) Date of birth………………………………………………(3) Date of retirement from service…………………………..(4) National Identity Card Number……………………….....(5) Present address and phone……………………………………………………………………………………………………………(6) Permanent address……………………………………………….…………………………………………………………………….(7) Parent organization/ service……………………………………….(8) Post held…………………………………………………………..Certified that:I undertake to abide by the constitution of the Senior Citizens' Forum Hayatabad.
Signature of applicantProposed by (Name and address):Seconded by (Name and address):NB: Proposer and seconder shall be existing members of the Forum.For office use only.No………………………dated………………………..Membership approved by the …………………………General SecretaryEnrolment fee of Rs…………………monthly/ annualSubscription fee……………………..paid vide Receipt No………dated………..Treasurer
No comments:
Post a Comment