Welcome to Delicate template
Header
Just another WordPress site
Header

Application for Membership

July 5th, 2013 | Posted by admin in Uncategorized

 

CENTRAL GOVERNMENT OFFICERS’ WELFARE ASSOCIATION

 C/O HOTEL ALAKAPURI, KOZHIKODE-673002

 (Registered under societies Regn Act 1860.  Regn No 73/79 dt 26.3.1979)

APPLICATION FOR MEMBERSHIP

 

NAME DESIGNATION
 

 

 
Official Address with Phone   Numbers Present Address with Phone   Number
 

 

 
Permanent Address with   Phone Number e-mail address
   
Mobile Number
Name of children with age(Please specify   Son/Daughter) Special interest if any
 

 

 

 I hereby agree to abide by the Rules and regulations of the Association and declare that the information given above are correct and changes, if any, will be intimated as and when occur.

Calicut

Date                                                                                   Signature of the applicant

 

Introduced byName and signature of the existing Member RemarksSecretary                                     President

 

 

You can follow any responses to this entry through the RSS 2.0 You can leave a response, or trackback.

Leave a Reply

Your email address will not be published. Required fields are marked *

You may use these HTML tags and attributes: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <strike> <strong>