MEMBERSHIP FORM FOR WORLD GORKHA FOUNDATION TRUST

S.No Membership Code Receipt No

(To be filled in by office)

Date :

TO,
THE GENERAL SECRETARY
WORLD GORKHA FOUNDATION TRUST
131 HARI NAGAR, ASHRAM
NEW DELHI 110014, INDIA

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Sir,

I S/o / W/o of has gone through your website and after getting all the informations, visions and objectives of WORLD GORKHA FOUNDATION TRUST want to apply for the membership of WORLD GORKHA FOUNDATION TRUST as given categories below :


Corporate Member (Donation Rs. 11,000/- or more) :
Co-Founder Member (Donation Rs. 50,000/-) :
Patron Member (Donation Rs. 25,000/-) :
Life Member (Donation Rs. 5,100/-) :
Special Member (Donation Rs. 11,00/-) :
General Member (Donation Rs.200/-) :

NOTE: The duration of membership of special member shall be 5 years and of the
General members it shall be 1 year. My Personal particulars are as follows:

Name :
Sex : Male Female
Father/husband's Name :
Age : Date of Birth :
Educational Qualifications :
Address for Correspondance : Telephone No./ Mobile (Resi.) : (Off.) :
E-mail ID :
PAN No. :

------------------ Declaration --------------------

I hereby declare that I have carefully gone through the aim and objectives of WORLD GORKHA FOUNDATION TRUST and understood its rules & regulations. In the event of violation of rules by me under any circumstances, WORLD GORKHA FOUNDATION TRUST is free to take any disciplinary action against me without any show-cause notice, for which I shall be fully responsible. Please register me as a Member of WORLD GORKHA FOUNDATION TRUST in accordance with the rules of WORLD GORKHA FOUNDATION TRUST.

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