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BBN Membership Application Form

The document is an application form for an individual seeking membership in the BBN organization. It requests personal details such as name, address, date of birth, occupation, photos, and membership fee payment. The applicant pledges to support the goals of BBN and abide by its bylaws. Required documents including ID proof, address proof, date of birth proof, and caste certificate are to be enclosed. The form is to be submitted to the BBN president/secretary and is subject to approval by the Executive Committee.

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Hari Krishna
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0% found this document useful (0 votes)
166 views2 pages

BBN Membership Application Form

The document is an application form for an individual seeking membership in the BBN organization. It requests personal details such as name, address, date of birth, occupation, photos, and membership fee payment. The applicant pledges to support the goals of BBN and abide by its bylaws. Required documents including ID proof, address proof, date of birth proof, and caste certificate are to be enclosed. The form is to be submitted to the BBN president/secretary and is subject to approval by the Executive Committee.

Uploaded by

Hari Krishna
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
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Application form for membership in BBN

To
The president/secretary

Subject: Application for admission as a ordinary/Lifetime/ patronage/


associate member of the BBN
Dear Sir,

I wish to apply for admission as a member of above my particular are as under:

Sr. Subject Particulars


No.
1 Name of the applicant

2 Father’s/husband name

3 Permanent address:

4 Correspondence address

5 Date of birth

6 Occupation:

7 Phone no. with code

8
Email id
9
Pan no.(attach self attested copy ,if available)
10
Caste certificate

2. I certify that:

I. I unconditionally subscribe to the aims & objectives of the BBN and contribute towards

Attainment of the same.

II. I will abide by the Byelaws of the BBN, as applicable and amended from time to time

III. I have not been convicted of an offence involving moral turpitude involving imprisonment.

3. I am enclosing herewith the following documents.

I. Copy of ____________________________________________towards proof of Identity

II. Copy of ____________________________________________towards proof of Address

III. Copy of ____________________________________________towards proof of date of birth


IV. Copy of caste certificate

V. DD/pay order/cheque no. _______________dated ________________for Rs ____________drawn

in favour of towards one time membership fee.

VI. DD/pay order/cheque no. _______________dated ________________for Rs ____________drawn

in favour of towards Membership annual subscription for the year___________________

VII. Two passport size and one stamp size photographs:

I request you to kindly admit me as a ordinary/life time /patronage / associate member of the society

Thank you

Dated ________________________ yours faithfully

Place ________________________ (signature of the applicant)

Recommendation of a member of the BBN as per bye laws

I recommend admission of sh. _______________________ s/o_____________________________ aged

_________________years R/o _ _______________as ordinary/ life member of the society.

Signature of the Member

Name of the member

Membership no.

Date

place

Decision of the Chairman/ President:

Sh .______________________________S/o ________________________aged ________________Years

R/o_______________________________________ is admitted / rejected as ordinary/ life/ associated member of the

BBN w.e.fDt._____________under membership no. _____ ____________in the meeting of the Executive Committee held

on dt. ______
He may be issued an identity card of the society & his/ her name may be entered in the Books as a
Member accordingly

Dated: ____________________
Chairman/President
Place: ____________________

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