MEMBERSHIP REGISTRATION FORM 2016

(Form only to be filled by serious candidates)

A chance to do something for society with a profession and awaken your soul and feel great.
The joy and satisfaction of bringing smile to the others through our organization.
S.R. No. :- _________________________ (for office use only)
Paste your recent
colour
photograph
And sign it. Else
Form will be
rejected.

Name :-

____________________________________________
Date Of Birth :- _______________________
Sex :-

____________________

Blood group:- ______ ive

Father s name & Occupation :- _______________________________________

Contact No :Email :-

_________________________________________

_____________________________________________

Address :- _______________________________________________________
_______________________________________________________
_______________________________________________________
Profession :-

___________________________

Office Address & Contact No:

____________________________________________________________
Educational Qualification :- ____________________________________
Name of School :- _____________________________________
10th Board ___________ Percent marks (%) obtained __________ Year_______

12th Board ___________ Percent marks (%) obtained __________ Year_______

Graduation University___________ Percent marks (%) obtained_______
Degree__________(B.A,B.E,BCA,BBA). Year____________
College Name ______________________________________
Post Graduation University___________ Percent marks(%)obtained_______
Degree__________(M.A,M.E,MCA,MBA). Year___________
Hobbies:- __________________________________________________________
Extracurricular Activities :- _____________________________________________
Awards & Certificate :- ________________________________________________
Define Yourself and your goal in life:______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
__________________________________________
Why do you want to join INAYAT ?:______________________________________________________________________________
______________________________________________________________________________
___________________________________________________
TERMS, CONDITIONS AND RULES

The person should be above 18 years to be active member of this organization and
without any criminal background.

The person should be physically and mentally strong and willing to work for the
organization individually or in a group and travel at his own expenses.

A person is selected and can be removed by the founding members or core group without
notice or giving reason for misconduct, misbehaviour or indiscipline.

The member is willing to work and obey the founding member and core group.

The member will give his best effort to full fill objective and task assigned to him or her.

Member should attend the general meetings and participate fully and have to give written
application for being absent, 3 days before the meeting.

The compulsory meetings will be held on weekends on Saturday or Sunday thrice a

month at various location.

Meetings will be headed by founding members and the core group and members.

The founding members has the supreme power to form or diffuse a core group, members.

10 It is duty of a member to obey and give due respect to the founding members and the core
group.

Declaration:I..(your name), declare that all the information furnished in

this form is true to the best of my knowledge and belief. I have read the terms and condition and
rules. And I will abide by them and work in the interest of the organization. My membership can
be cancelled by the founding members without assigning any reason if my activities or conduct
are deemed unfit for the organization or for any other reason. By signing this document I agree to
be part of this organization and work for it and ready to obey and follow orders task assigned by
the core group under leadership of founding members Gagan Tiwari, Aman Saxena and Deepesh
Sudhakaran.
Date: - _______________

Signature of applicant

Place: - _______________

Signature of authority