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ESWAT Membership Registration Form

The ESWAT Membership Form is a registration document for prospective members of the Ex Students Welfare Association, requiring personal and contact information, membership type, and payment details. Applicants must attach supporting documents such as a PAN card and Aadhaar card, and agree to the association's terms and conditions. The form also includes sections for member information and internal use by ESWAT for processing applications.

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Gunavant Dhake
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0% found this document useful (0 votes)
43 views1 page

ESWAT Membership Registration Form

The ESWAT Membership Form is a registration document for prospective members of the Ex Students Welfare Association, requiring personal and contact information, membership type, and payment details. Applicants must attach supporting documents such as a PAN card and Aadhaar card, and agree to the association's terms and conditions. The form also includes sections for member information and internal use by ESWAT for processing applications.

Uploaded by

Gunavant Dhake
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

ESWAT Membership Form Date: ___________

All Prospective Members Of Eswat Are Required To Complete This Registration Form And Return To Assigned Members Of Eswat
With Suppoting Documents
Shop No.2, Deep Tushar Chs Ltd, Padmakar Colony, Near Bank Of Maharashtra, Thakurli East - 421201

Affix A Passport Size Photo


E-mail: Exstudentswelfareassociation@[Link]

Section 1: Member Contact Information


Title O Mr O Mrs O Miss O Ms O Dr O Other, Specify: Please Tick
Full Name
Father's Name Main Telephone
Mother's Name Home Telephone
Address Mobile Phone
Town/city Email
State Adhar Card No
Post Code Pan Card No

Section 2: Membership Type And Payment Details


Member Type Description Registration Membership Fees Please Tick
Life Member Life Membership Rs. 100 Rs.3000
Annual Member One Year Membership Rs. 100 Rs.300
Payment Method O Upi O Neft/rtgs
O Cheque O Payment Gateway
Payment Details To Be
Mentioned In Detail

Section 3: Member Information


Gender O Male O Female
Occupation /job Title Date Of Birth
Qualification

Associated With Any Other Trust/


Welfare Organisation
Areas Of Your Interests

Note: As A Proof, Please Attach Pan Card, Adhar Card And (last Marksheet /leaving Certificate/ Any Dcoument Received From School.
Applications Without These Documents Will Be Rejected.
Declaration: I Agree To Abide By The Ex Students Welfare Association Thakurli Terms And Conditions And Its Bylaws.
i Have Paid My Registration / Membership Fees Totalling Rs................

Write Your Name Here


Sign

The Information Provided Above Will Also Be Used To Keep You Informed About ESWAT Events In Future.
For ESWAT Use Only:
Proposer Name
Sign

Date Received Chq/ RTGS Rec’d Payment Confirmed Receipt Issued Entered Into Database

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