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AIMA - Life Membership - Individual

The document is an application form for individual life membership to the All India Malayalee Association. It requests personal details like name, address, contact information, date of birth, occupation, spouse and children details. It also asks for membership in other organizations and hobbies. The applicant needs to declare that the details provided are true and agree to abide by the association's constitution.

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mdasnair
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42 views2 pages

AIMA - Life Membership - Individual

The document is an application form for individual life membership to the All India Malayalee Association. It requests personal details like name, address, contact information, date of birth, occupation, spouse and children details. It also asks for membership in other organizations and hobbies. The applicant needs to declare that the details provided are true and agree to abide by the association's constitution.

Uploaded by

mdasnair
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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ALL INDIA MALAYALEE ASSOCIATION

Reg. No. 280/2007


Admn Office : Gokulam Bldgs., No. 64, Arcot Road,
Kodambakkam, Chennai – 600 024 Ph. 09884909366
Web site: www.allindiamalayaleeassociation.com

APPLICATION FOR INDIVIDUAL LIFE MEMBERSHIP

Name of the Applicant : Mr./ Mrs. /Ms.

Residential Address :

Occupation/Business Address :

Telephone / Fax/E-Mail ID : Res: ________________________


Fax ___________________ Off ________________________
Mobile___________________ E-mail________________________

All communication to be sent to : Residence / Office Address

Date of birth / Age :

Place of Birth :

Native Place :

Mother Tongue :

Marital Status : Married / Unmarried / Divorced

Date of Marriage :

Name of spouse :

Date of Birth of spouse / Age :

Place of Birth of spouse :


(PTO)
:: 2 ::

Mother Tongue of spouse :

Occupation of spouse :

Particulars of children Name Sex DOB

Applicant’s membership in Name Member post being


Other organizations, if any of Assn since held

Hobbies :

Details of Membership fee Cheque / DD No. ________________dtd / /


enclosed Amount `_______ Payable at ____________

DECLARATION

I hereby declare that the particulars given above are true to the best of my knowledge. I
further agree to abide by the constitution and bye laws of ALL INDIA MALAYALEE
ASSOCIATION.
Station :

Date : Signature of applicant

For AIMA OFFICE USE ONLY

Application with Membership Fee of `2,000 received on / / through cash /

DD / Cheque.

Remarks of State Executive committee

Decision of the National Executive Committee

Signature of General Secretary Signature of the President

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