Powai Lake- 8571780
Sec.Res- 6364270
Treasurer Res- 6504152/3081638
Please enroll me as CORPORATE member of THE MAHARASHTRA STATE ANGLING ASSOCIATION. I enclose Cash/Cheque for Rs._______ being the prescribed entrance fee. I agree to abide by the Rules & Regulation of the Association, the following are my particulars-
1. Applicant's Name
/ M/S ___________________________________________________________
2. Profession/Occupation/Business
_______________________________________________________
(if in service,
please state position held & particulars of the employers)
(state full particulars)
3. Corporate Office
Address ________________________________ (Tel Nos.) _______________________
Local Address ___________________________ (Tel Nos.) _______________________
5. Membership of other clubs:
a. In India _______________________________________________
b. Outside India ___________________________________________
c. Whether applicant
ceases to be a member of any club and the reasons
therefor _______________________________________
6. Previous experience in Angling _______________________________
7. Any other information _______________________________________
8. Length of time
known to
(i) the proposer ________________years;
(ii) the seconder _______________ years
I declare the statements made by me in this application are true.
MUMBAI
Dated this
day of
20 .
Signature __________________________
We the undersigned, personally know the applicant and to the
best of our knowledge the particulars given by him in this application
form are correct. In our opinion, the applicant is a fit person
for enrolment as a member of the Association. We accordingly recommend
this application.
PROPOSER ______________________ No._________ Signature _______________
SECONDER ______________________ No._________ Signature _______________
Mumbai
Dated this
day of
20 .
Received Rs. ___________ (Cash/Cheque) on ____________
HON. TREASURER
Elected as a _____________________ Member on ______________________
Date ___________ HON. SECRETARY CHAIRMAN