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NEW ROTARACT CLUB APPLICATION

Congratulations, and thankyou foryourtime and effortin organizing yourclub!
To register your club with Rotary International and receive its charter, complete this application fully.
Email is a vital part of Rotary’s communication strategy, so include an email address for each member
and a separate email address for the club.
• Note that the information you and your fellow charter members submit is subject to Rotary’s privacy policy.
• Ask your district governor to sign this application to verify that the information is accurate and complete.
• Send the completed application to your district’s Club and District Support representatives. If
information is missing from this form, Club and District Support will contact you.

CLUB NAME
The name of a Rotaract club is to identify the club with the community or area of interest of its
members and to distinguish it from all other Rotaract clubs. Club names shall not use the “Rotary”
name or other Rotary Marks and shall not include references to ethnicity, gender identity, political
viewpoints, race, religion, sex, sexual orientation, or trademarks without written permission of the
trademark owner. A university-based Rotaract club may use the name of the university or
institution of higher learning for which it is affiliated in its club name with the permission of the
institution.

The name of this organization will be the Rotaract Club of:

ERODE COLLEGE OF LAW Tamilnadu India

Club name State or province Country or geographic area

CLUB BASICS
ARotaract club may be community-based or university-based. (“University” includes all institutions
of higher education.) If the Rotaract club is university-based, the counsel of sponsor club or clubs
(if
applicable) shall be exercised in full cooperation with university authorities, with the
understanding that such clubs are subject to the same regulations and policies
established by the university authorities for all student organizations and
extracurricular activities of the university.
Check one: □ Community-based □ University-based
Review examples of club models. If your club is using a specific model, indicate that below. You can
indicate more than one model, specify a new model that is not yet listed in our examples, or leave
the space blank if it doesn’t apply.

Club model CAMPUS BASED

If applicable, briefly describe your club’s primary cause or interest (e.g., fighting human trafficking,
participating in triathlons, etc.)

In what language does the club prefer to receive correspondence?

Check
one: □ English □ French □German □Japanese □Portugues □Spanish
□Italian □Korean e

Your club is required to have a permanent email address, and it cannot be the same as
any other club’s or member’s email address.

Club email address rotaractecl@[Link]

[Link]
Website and social media pages (if applicable)
Mailing address NO.17, ERODE ROAD, PEUNDURAI, EORDE (Dt), TAMILNADU -638052
Was this club previously a satellite club? o Yes o No If yes, satellite club ID number

New Rotaract Club Application,

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 OFFICERS
Each role should be filled by a different person, with the exception of president-elect, who can be
the same as the president. We require the names of the president, president-elect, secretary, and
treasurer, at minimum. Please mark the box below each role to indicate if they will continue to serve
in the role for the next Rotary year, starting 1 July, or leave it unmarked if their term will end on 30
June of this Rotary year.

Preside
nt
ROHITH. S
□ Officer will continue in this role next Rotary year

President-elect NARENDHARPRASATH. J
□ Officerwillcontinue in this role next Rotary year

Secretary
GOWARTHANAGIRI P
□ Officerwill continue in this role next Rotary year

Treasurer AMOGA.P
Officerwill continue in this role next Rotary year
BHAVANADEVI .C
Membership chair
Officerwillcontinue in this role next Rotary year

Rotary Foundation ABINITHI .M

chair
Officerwillcontinuein this role next Rotary year

Service projects ILLAKIYA.R

chair
Officerwillcontinue in this role next Rotary year

Public image
chair
DEEPAK .R
□ Officerwillcontinue in this role next Rotary year

CHARTER MEMBER DETAILS

PleasecompletetheNewRotaractClub Charter Member List and submit it to Club and District
Support with this application.

CLUB MEETING DETAILS

Meeting day WEDNESDAY Meeting time 3:30 PM - 4:30 PM
Meeting frequency MONTHLY
Meeting format (in person, online, or both) Both
If your club meets in person, give the name and address of the meeting place, including the
postal code. If your club meets online, give the details that are needed for participating. If
your club offers both in-person and online meetings, provide information for both.
Meeting location or platform
SEMINOR HALL, ERODE COLLEGE OF LAW, NO.17, ERODE ROAD, PEUNDURAI, ERODE (Dt),
TAMILNADU -638052

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ROTARACT ADVISER (optional)
A Rotaract adviser may be a Rotarian, a Rotaractor from another club, a faculty member, or a
community leader who supports the Rotaract club. Although a club may have several advisers,
Rotary International asks you to report only one adviser each Rotary year (1 July to 30 June).

First name DR. NARAYANAN Middle name Last name

Is the Rotaract adviser currently a Rotarian or □
No Yes
Rotaractor?
□
If yes, member ID number

The Rotaract adviser’s email address cannot be the same as the club’s permanent email address
or any other club’s or member’s email address.
Email NARAYANAN_CHINNASAMY@YAHOO.-[Link]
City ERODE Tamilnadu India
State/Province Country

In what language does the adviser prefer to receive correspondence?

Check
□English □ French □German □Japanese □Portugues □Spanish
one:
□Italian □Korean e

□Adviser will continue in this role next Rotary year Yes

By signing below, you agree to share the contact information above with Rotary
International and accept Rotary’s privacy policy.
Rotaract adviser’s signature 09-08-2025
Date

SPONSOR CLUBS
ARotaract club may be sponsored by up to three Rotary or Rotaract clubs in its district. The
district governor must approve in writing any additional Rotary or Rotaract club sponsors after
carefully considering the best interests of the sponsored Rotaract club.
Will this club be sponsored? Check one:

□ Thisclubwill charterwithout a sponsorclub (go to CERTIFICATION)

□ Thisclubwill charterwiththe followingsponsorcluborclubs (continue below)
By signing below, the sponsor club president or presidents affirm that they understand and
accept the provisions
of the Rotary Code of Policies, as they pertain to Rotaract, and the Standard Rotaract Club
Constitution and Recommended Rotaract Club Bylaws. The sponsor club or clubs agree to mentor
the members of the new Rotaract club and guide them in service. Sponsor clubs have no
administrative access and no right to change information on behalf of the sponsored Rotaract
club.

Sponsor club 1 name ROTARY CLUB OF GOBI Sponsor club 1 ID 15849

number
Sponsor club 1 type: □ Rotary club □ Rotaract club

[Link] 13.08.2025
Sponsor club 1 president’s Sponsor club 1 president’s Date
name signature

Sponsor club 2 name Sponsor club 2 ID number

Sponsor club 2 type: □ Rotary club □ Rotaract club

Sponsor club 2 president’s Sponsor club 2 president’s Date

name signature

Sponsor club 3 name Sponsor club 3 ID number

Sponsor club 3 type: □ Rotary club □ Rotaract club

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Sponsor club 3 president’s Sponsor club 3 president’s Date
name signature

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CERTIFICATION
Thesignatures of the Rotaract club president and secretary verify that this club is organized in
accordance with Rotary’s policies and constitutional documents and that the information in this
application is accurate. This certification will be kept on file by the club.
The club officers’ signatures below affirm that this club:
1. Will abide by the RI Constitution and RI Bylaws
2. Has adopted the Standard Rotaract Club Constitution as its own and will abide by it
3. Will always have bylaws that are in harmony with Rotary’s constitutional documents, including the Standard
Rotaract Club Constitution
4. (a) If community-based, will not become a member of, or assume obligations of membership in, any
organization other than Rotary
(b) If university-based, will comply with the university’s regulations and policies for the use of its name
5. Will meet the obligations of a member club of Rotary
Rotaract club president’s signature Date 13.08.2025
Rotaract club secretary’s signature Date 13.08.2025
As governor of the district, I endorse this club’s application for admission to Rotary and certify that it
meets the requirements in Rotary’s constitutional documents and the Rotary Code of Policies.
I confirm that these statements are true and correct:
1. All members of the proposed new Rotaract club have participated in an appropriate orientation
and education program under the guidance of district leaders and, if applicable, members of
any sponsor clubs.
2. The club has set an annual fee to cover its financial obligations, including annual per capita dues
paid to Rotary International.
3. The club has a well-balanced membership in compliance with the RI Bylaws.
4. The club is fully aware that it is not allowed to limit membership based on gender, race, color,
creed, national origin, or sexual orientation or to impose any membership condition not specifically
allowed by the RI Constitution or RI Bylaws.
5. All current or former Rotary members who are joining this new club have provided written
statements from their current and previous clubs that all their debts to the clubs have been paid.
District governor’s name Rtn B DHANASEKAR District3203
District governor’s signature Date 13-08-2025

New Rotaract Club Application,

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