Life Membership Application Form - Rajyoga Education & Research Foundation

The President,

Rajyoga Education & Research Foundation

Pandav Bhavan

Mount Abu - 307501.

Date: //20

I hereby apply to be a member of Rajyoga Education & Research Foundation and pay herewith ₹ 100/- as entrance fee alongwith ₹ 2000/- as Life Membership Subscription. Kindly treat my entrance fee and Life membership subscription as my voluntary contribution to the corpus of your Society. I have read the rules and regulations of the Rajyoga Education & Research Foundation and agree to abide by them and accept disciplinary jurisdiction of the President or any constitutional authority. I further certify that I am a regular student of PBKIVV Centre / Certificate No. Zone since last years and observe all the principles and disciplines.
Following are my detailed particulars.

*Note – Please Fill This Form In Capital Letter And Clear

*नोट – कृपया इस फॉर्म को बड़े और स्पष्ट अक्षरों में भरें।

Signature of Applicant
(आवेदक के हस्ताक्षर)

1. Full Name (नाम): Date of Birth (जन्मतिथि):

2. Full Address (पता):

City: District:

State: Country: Pin:

3. Mobile No. (मोबाइल नं): Whatsapp No. (व्हाट्सएप नं): Email (ई-मेल):

4. Wing (वर्ग)*: Vishwakarma Qualification (शिक्षा): Occupation (पेशा):

5. Amount (राशि): ₹ 2,100/- Amount in words: Rupees Two Thousand One Hundred only

Mode: Cash / Cheque / DD / CBS / NEFT / RTGS Bank: Branch:

Chq / DD / Ref. No.: Chq / DD / Transfer Date:

Signature of Centre-in-Charge / Wing Co-ordinator
(सेवाकेन्द्र संचालक / वर्ग संचालक के हस्ताक्षर)

*Administration / Art & Culture / Business & Industry / Education / Scientists & Engineers / IT / Jurist / Media / Political / Religious / Rural / Security / Social / SpARC / Sports / Transport-Shipping & Aviation, Road & Railways / Women / Youth
प्रबंधन / कला व संस्कृति / व्यापार व उद्योग / शिक्षा / विज्ञान / आई.टी / न्यायविद / संचार / राजनैतिक / धार्मिक / ग्रामीण / सुरक्षा / सामाजिक / स्पार्क / खेल / यातायात / महिला / युवा

Send this form on this number : 8094376048