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Online Registration
MEMBERSHIP At-Large APPLICATION FORM
Details of Applicant:
First Name
*
Last Name
*
Sex
*
Date Of Birth
*
Anniversary Date
----Select----
Male
Female
Blood Group
*
Educational Qualification
*
Website URL
Contact Details:
Mobile Res
*
Office
Fax
E-Mail Address
*
Website Address
(Residence)
*
Address (Office)
Enter Residence Address
Enter Office Address
Business Details:
Name of Organization
Operating Since
Trade License No
Date of Issue & No
PAN No
Name of Directors:
Partners / Proprietors
Enter Directors Name
Enter Partners
Reason Applying for Membership
Other Club or Association Membership Details
DECLARATION
I/We solemnly declare that – (A) All the above information is true to the best of my/our knowledge and nothing relevant has been concealed or suppressed. (B) I/We undertake to inform the association of the changes that may occur in the information and particulars furnished in the application in future. I/We hereby apply to become a member of NAR-INDIA. I/We have read and understood the terms and conditions and I/We agree to abide the rules and regulations of NAR-INDIA that may be in force from time to time.
Applicants / Signature
*
NAR-INDIA, President
NAR-INDIA, Secretary
Proposed By
Seconded By
Approved By
President
*
Vice President
*
Secretary
*
Note :Before submitting this form online please take a print and sign and return one copy to NAR-INDIA
Address of NAR-INDIA
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