_____________________________________________________________________________

ALL INDIA COUNCIL OF HUMAN RIGHTS, LIBERTIES & SOCIAL JUSTICE

Registered under the society registration act (xxi) 0f 1860 , govt of india , NCT , Delhi, vide regd no.: S/00837/NE
(Registered with planning commission of india vide - unique id: DL/2012/0050768) under partnership systems)


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APPLICATION FORM
_______________________________________________________________

FOR NEW MEMBERSHIP

(Common Application Common form for AICHLS/NCNB/NLC)

Submit the complete form with the following documents and send to us on the below address for selection
Selection process time 7/10 days
Note: kindly send the following documents along with the application

1. 4 Nos. Passport Size Photo
2. Address Proof & Photo ID Proof
3. DD/Bank Deposit Slip For Your Document Preparation
4. If Advocate : Bar Council ID Card
5. RC Copy For Car / Bike Sticker
6. Self Address Envelope ( A-4 Size ) With Complete Address / Pin Code With Rs. 35/-
Postal Stamp Stick
7. Paste your passport photograph with front face and self signature at the back side

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CONTACT / POSTAL ADDRESS

SECRETARY GENERAL
All India Council Of Human Rights, Liberties & Social Justice
Central Office: H-10, Basement, NDSE - Part One , New Delhi 110 049
phone: 011 41349791, 9873087903
Email: [email protected]
visit: www.humanrightscouncil.in , news : www.newsindiatoday.com ,
www.nationallegalcouncil.org


_____________________________________________________________________________
ALL INDIA COUNCIL OF HUMAN RIGHTS, LIBERTIES & SOCIAL JUSTICE
Registered under the society registration act (xxi) 0f 1860 , govt of india , NCT , Delhi, vide regd no.: S/00837/NE
(Registered with planning commission of india vide - unique id: DL/2012/0050768) under partnership systems)

To,
Chairman
Central Selection Committee
MEMBERSHIP FORM
(FILL THE FORM WITH CAPITAL LETTER ONLY)
Applicant Name : _______________________________________________________
Fathers Name : _______________________________________________________
Date Of Birth : _______________________________________________________
Mobile :________________ Landline with STD Code :________________
Email ID ( Capital Letter Only) : _________________________________________
Residence Address Permanent : _________________________________________
Residence Address Present : _________________________________________
Qualification : _________________________________________
I declare, that I am joining the organization with my own acceptance and consent and not been
forced by anyone and want to help the organization to serve the society with dignity, will not do
any illegal activity which against the indian law , indian constitution and society

Please Provide Three References ( One From Govt. Sector) :

1. Name____________ Mobile__________ Relationship____________Email Id______________
2. Name____________ Mobile__________ Relationship____________Email Id______________
3. Name____________ Mobile__________ Relationship____________Email Id______________

Signature Applicant : _________________ Date ___________________

Official Use Only
The national selection committee has examined your all details and hereby approve / disapprove
your Application For The Membership.

Membership No. : ___________________________
Designation Granted : ___________________________

Signature /Date Signature/Date
Chairman (Selection Committee) National President/Chairman


_____________________________________________________________________________
ALL INDIA COUNCIL OF HUMAN RIGHTS, LIBERTIES & SOCIAL JUSTICE
Registered under the society registration act (xxi) 0f 1860 , govt of india , NCT , Delhi, vide regd no.: S/00837/NE
(Registered with planning commission of india vide - unique id: DL/2012/0050768) under partnership systems)

MUST ANSWER THESE QUESTION
What is your objective to join this organization? : _________________________________
How do you want to serve the society? : _________________________________
How you came to know about us ? : _________________________________
Are you joining with your own consent? : Yes / No : _________________________________
Have you ever been pressurised by any existing member or anybody to become part of our
AICHLS / NCNB ?NLC : Yes / No : ______________________________________________
Have you ever been convicted by any court in India : Yes / No.: _________________________
Have you ever involved with any illegal activity which is against the Indian Law/Constitution:
Yes / No. : _________________________________
Have you ever been involved with any human rights activity: Yes / No ____________
Are you ready to serve the society voluntarily / without Any remuneration / Commission / Salary
etc.? : Yes/ No : _________________________________
At what level are you ready to take responsibility & How many membership can you generate
from your social network? : _________________________________
Are you ready to make your working / action committee at the earliest : Yes/ No : _________
within how many days? : _________
Are you suffering with any kind of disease: Yes/ No : _________________________________
Are you ready to submit all your written report every month: Yes/ No : ___________

Applicant Name : _________________ Date ___________________

Signature Applicant : _________________ Date ___________________




_____________________________________________________________________________
NATIONAL COUNCIL OF NEWS & BROADCASTING
Registered under the society registration act (xxi) 0f 1860 , govt of india , NCT , Delhi, vide regd no.: S/00810/NE
(Registered with planning commission of india vide - unique id: DL/2012/0050768) under partnership systems)

To,
Chairman / Editor in Chief
Central Selection Committee
MEMBERSHIP FORM
(FILL THE FORM WITH CAPITAL LETTER ONLY)
Applicant Name : _______________________________________________________
Fathers Name : _______________________________________________________
Date Of Birth : _______________________________________________________
Mobile :________________ Landline with STD Code :________________
Email ID ( Capital Letter Only) : _________________________________________
Residence Address Permanent : _________________________________________
Residence Address Present : _________________________________________
Qualification : _________________________________________
I declare, that I am joining the organization with my own acceptance and consent and not been
forced by anyone and want to help the organization to serve the society with dignity, will not do
any illegal activity which against the indian law , indian constitution and society

Please Provide Three References ( One From Govt. Sector) :

1. Name____________ Mobile__________ Relationship____________Email Id______________
2. Name____________ Mobile__________ Relationship____________Email Id______________
3. Name____________ Mobile__________ Relationship____________Email Id______________

Signature Applicant : _________________ Date ___________________

Official Use Only
The national selection committee has examined your all details and hereby approve / disapprove
your Application For The Membership.

Membership No. : ___________________________
Designation Granted : ___________________________

Signature /Date Signature/Date
Chairman (Selection Committee) National President/Chairman / Editor



_____________________________________________________________________________
NATIONAL LEGAL COUNCIL
( An Legal Wing / Unit Of All India Council Of Human Rights, Liberties & Social Justice )
Registered under the society registration act (xxi) 0f 1860 , govt of india , NCT , Delhi, vide regd no.: S/00810/NE
(Registered with planning commission of india vide - unique id: DL/2012/0050768) under partnership systems)

To,
Chairman
Central Selection Committee
MEMBERSHIP FORM
(FILL THE FORM WITH CAPITAL LETTER ONLY)
Applicant Name : _______________________________________________________
Fathers Name : _______________________________________________________
Date Of Birth : _______________________________________________________
Mobile :________________ Landline with STD Code :________________
Email ID ( Capital Letter Only) : _________________________________________
Residence Address Permanent : _________________________________________
Residence Address Present : _________________________________________
Qualification / LLB : _________________________________________
I declare, that I am joining the organization with my own acceptance and consent and not been
forced by anyone and want to help the organization to serve the society with dignity, will not do
any illegal activity which against the indian law , indian constitution and society

Please Provide Three References ( One From Govt. Sector) :

1. Name____________ Mobile__________ Relationship____________Email Id______________
2. Name____________ Mobile__________ Relationship____________Email Id______________
3. Name____________ Mobile__________ Relationship____________Email Id______________

Signature Applicant : _________________ Date ___________________

Official Use Only
The national selection committee has examined your all details and hereby approve / disapprove
your Application For The Membership.

Membership No. : ___________________________
Designation Granted : ___________________________

Signature /Date Signature/Date
Chairman (Selection Committee) National President/Chairman / Editor

_____________________________________________________________________________
ALL INDIA COUNCIL OF HUMAN RIGHTS, LIBERTIES & SOCIAL JUSTICE
Registered under the society registration act (xxi) 0f 1860 , govt of india , NCT , Delhi, vide regd no.: S/00837/NE
(Registered with planning commission of india vide - unique id: DL/2012/0050768) under partnership systems)

(OATHS/ACCEPTANCE/DECLARATION (ONLY AICHLS/NCNB/NLC APPLICANT)

To, Chairman
Central Selection Committee

Dear Sir,

I_______________________S/o_________________ Residence of _______________ Solemnly
take oaths / accept and declare that,

1. I am joining and subscribing AICHLS/NCNB/NLC with my own consent without any force or
pressure from any exixting member of AICHLS/NCNB/NLC or from outsider.
2. I will serve the AICHLS/NCNB/NLC , People & Society as volunteer for which I will not claim
any kind of payments or service charges or any kind of expenses.
3. I will be fully dedicated to Human rights, Liberties and social Justice for masses and not for
individual or my own benefits.
4. I will not misuse the name of AICHLS/NCNB/NLC for my own sake and benefits Strictly, if
found liable to face action by CENTRAL DISCIPLINE ACTION COMMITTEE OR
NATIONAL PRESIDENT, which is final.
5. I will Pay all my Membership fee , joining fee , Contribution, subscription in time and with my
own acceptance , consent and agreement.
6. I will obey the code of conduct of the AICHLS/NCNB/NLC in all mode and all time.
7. AICHLS/NCNB/NLC will not be held responsible , if I will be involved with any kind of illegal
activities, court cases, functions, seminars , rally which against the law of India and Constitution
,society, knowingly or unknowlingly.
8. I have never been involved /indulged with any kind of human rights violation and never been
convicted by the court for the same. My membership can be withdrawn immediately, if found
guilty with anything violated the law of India Constitution or society or the code of conduct of the
society and accepted the final decision of the CENTRAL DISCIPLINE ACTION COMMITTEE
OR NATIONAL PRESIDENT.
9. I also authorize AICHLS/NCNB/NLC to put my name & details on the website i.e.
www.humanrightscouncil.in or any related social site or web site.
10. I will attend all meetings of the AICHLS/NCNB/NLC time to time in my respective jurisdiction.
11. I will the serve the AICHLS/NCNB/NLC with whatever responsibility and accountability given
to me
12. I understand that my Membership is non-transferable and once the payment is made, it is non-
refundable.
13. Any kind of misbehaviour or misconduct may result in rejection of membership of
AICHLS/NCNB/NLC. All disputes subject to jurisdiction of Delhi only.

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_____________________________________________________________________________
ALL INDIA COUNCIL OF HUMAN RIGHTS, LIBERTIES & SOCIAL JUSTICE
Registered under the society registration act (xxi) 0f 1860 , govt of india , NCT , Delhi, vide regd no.: S/00837/NE
(Registered with planning commission of india vide - unique id: DL/2012/0050768) under partnership systems)

(OATHS/ACCEPTANCE/DECLARATION (ONLY AICHLS/NCNB/NLC APPLICANT)

14. AICHLS/NCNB/NLC will not be responsible for any misuse of Identity Card , press card , legal
council card issued to me during the course of my Membership with AICHLS/NCNB/NLC ,
National Council of News and Broadcasting , National Legal Council.
15. On expiry of validity, I will submit my Identity Cards to the National Administration Office.
After expiry, I will renew regular membership within 30 days. In case of change of address, I will
inform the same to the National Administration Office .
16. In case of loss of the identity Card, I will inform the National Administration Office in writing
along with the F.I.R. immediately.
17. Being a active member of AICHLS/NCNB/NLC will contact my respective Area Units / State
Units / National Administration Office once in a month and send a written report / Email.
18. I am ready to face Strict action , if found guilty floating the rules and regulations of
AICHLS/NCNB/NLC, and are also punishable under the Press & Societies Act.
19. If I am holding the press ID card , I will report all the incidents immediately to the NCNB and
voluntarily
20. If I am holding the Legal ID card , I will serve the people absolutely free and voluntarily and
provide free legal advise time to time.
21. If I have any doubt, question or problem, will contact AICHLS/NCNB/NLC National
Administration Office with the All rights reserved to AICHLS/NCNB/NLC.

DECLARATION: I hereby solemnly affirm and declare that The particulars mentioned by me here in
above are true & correct to the best of my knowledge and belief and nothing has been concealed or
suppressed thereof. If anything found incorrect at any stage, my membership may be terminated. I
honestly declare that I will not involve myself directly or indirectly in any act which will be against the
prestige of our Nation , Constitution , Indian Laws, Society, Journalism and AICHLS/NCNB/NLC as
well. I will abide by the rules and regulations and Byelaws of the AICHLS/NCNB/NLC in force from
time to time.

Signature (Member only)

Name_____________________ Date____________Location_________Mobile ___________________

Signature (Reference only)

Name_____________________ Date____________Location_________Mobile ___________________



_____________________________________________________________________________
ALL INDIA COUNCIL OF HUMAN RIGHTS, LIBERTIES & SOCIAL JUSTICE
Registered under the society registration act (xxi) 0f 1860 , govt of india , NCT , Delhi, vide regd no.: S/00837/NE
(Registered with planning commission of india vide - unique id: DL/2012/0050768) under partnership systems)

PERSONAL DETAIL FOR MAKING ID CARD
COMMON FORM FOR AICHLS/NCNB/NLC
Kindly fill the details with capital letter, we will not responsible for any spelling mistake their after
I am giving my particulars to make my Identity Card / Certificate / Car Sticker etc. as details are
given below , I am fully responsible for any spelling mistake if found in this slip and I have
submitted my full documents charges ( Voucher Details attached)

ONLY CAPITAL LETTER TO BE FILLED ( EMAIL ALSO :
[email protected])
Member Name : _________________________________________________
Fathers Name : _________________________________________________
Spouse Name : _________________________________________________
Date Of Birth : _________________________________________________
Mobile : _________________________________________________
Landline with STD : _________________________________________________
Email ID (Capital Letter Only) : : _________________________________________________
Blood Group : _________________________________________________________________
Emergency Contact No : _________________________________________________
Complete Residence Address Permanent with pin code
______________________________________________________________________________
______________________________________________________________________________
Complete Residence Address Present with pin code
______________________________________________________________________________
Write your Complete Address with pin code ((For Delivery The Documents))
______________________________________________________________________________
______________________________________________________________________________

Name_____________________ Date____________Location_________Mobile ___________________


_____________________________________________________________________________
ALL INDIA COUNCIL OF HUMAN RIGHTS, LIBERTIES & SOCIAL JUSTICE
Registered under the society registration act (xxi) 0f 1860 , govt of india , NCT , Delhi, vide regd no.: S/00837/NE
(Registered with planning commission of india vide - unique id: DL/2012/0050768) under partnership systems)

Expense Slip (Treasury dept)
Documents Charges

Particulars (Documentary Charges) Amount Dated Bank Drawn
All India Council Of Human Rights , Liberties & Social Justice
National Identity Card (Plastic) and Certificate . (AICHLS)
Rs. 975/-
National Council of News & Broadcasting (PRESS) (NCNB)
Indian Action News Network ( Indian Action )
Indian Action News Paper
National PRESS REPRESENTATIVE CARD and Certificate .
Rs.
975 + 2000
= 2975 /-

National Legal Council (NLC)
(A Legal Unit / Wing of All India Council Of Human Rights , Liberties &
Social Justice)
National Identity Card (Plastic) and Certificate .
Rs. 975/-
Car / Bike Sticker (Cost per sticker)
Rs. 225/-
International Institute of Human Rights Studies ) IIHRS
(A Educational Wing of All India Council Of Human Rights , Liberties &
Social Justice)
Diploma Human Rights (Honor) No Examination
Post Graduate Diploma (Honor) No Examination
Rs. 1100/-,
Rs.2100/-
Respectively

Special Donation
Special Contribution
Donation for eye operation/food/medicine/orphanage/old age
etc.




_____________________________________________________________________________
ALL INDIA COUNCIL OF HUMAN RIGHTS, LIBERTIES & SOCIAL JUSTICE
Registered under the society registration act (xxi) 0f 1860 , govt of india , NCT , Delhi, vide regd no.: S/00837/NE
(Registered with planning commission of india vide - unique id: DL/2012/0050768) under partnership systems)

Kindly Note :
1. All Contribution /Donations movbale or immovable exempted granted registration under
section -80 (G) (5) (vi) & 12A of the Income Tax Act, 1961 by the Directorate of Income
Tax (Exemptions), New Delhi
2. Kindly speak to us for press card before applying at Editor - 987300 5424
3. Must check your name on our web site (www.humanrightscouncil.in ) after 7/10 days of
approval.
4. Subscription / Membership fee only For Office Bearer As Per Memorandum and
designation and level in the AICHLS/NCNB/NLC.
5. Non Active membership are Free
6. Read all our aims , objectives, achievements , Roles & Responsibilities.
7. All Contribution /Donations/Fees Etc. To Be By DD/PAY ORDER In The Favour of
ALL INDIA COUNCIL OF HUMAN RIGHTS,LIBERTIES & SOCIAL JUSTICE
payable New Delhi

INDIAN BANK:
Saving A/c No. : 6106 880946 payable New Delhi
Online Transfer: Please email us the transit number of online transfer
Branch Address: South Extension -I, New Delhi
CBS Code: 00361 - IFS Code: IDIB000 S032

HDFC BANK - Branch Defence Colony - New Delhi
Saving A/c No. : 1092 145 0000069 payable New Delhi
RTGS/NEFT IFSC : HDFC0001092

FOR PRESS REPRESENTATIVE CARD
NATIONAL COUNCIL OF NEWS & BROADCASTING
HDFC BANK - Branch Defence Colony - New Delhi
Saving A/c No. : 1092 145 0000052 payable New Delhi
RTGS/NEFT IFSC : HDFC0001092

8. After Depositing Money, mail us your deposit details at
[email protected]

9. FOR ANY QUERY : 9.00AM TO 9.00 PM : 9873005424