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NATIONAL ASSOCIATION OF YOUTH

AN EVOLUTION OF

SHABDVIDYA SEWA SANSTHAN (Regd.)


Regd. Off. : New Colony Shaktinagar, Supelwa, Gandhinagar Basti (UP) 272001

Membership Form Title NAME ADDRESS Add Line 2 Email


Contact No.

Delhi Off. : Savitri Bhavan, D-323, Street Number 11, Laxminagar, Delhi - 110092

[ ] Mr.

[ ] Mrs.

[ ] Miss

[ ] Dr. Attach Passport Size PHOTO here

QUALIFICATION : OCCUPATION / JOB TITLE : INSTITUTION : INTERESTS : I Comfort to Do (for NAY): Ambition in Life:

DOB

DD

MM

YYYY

Memer Type Ordinary Student Executive Institutional Donation

Discription Full Ordinary Membership Full Time Students Under 18 yrs Executive Membership for those who will spend time and resources. Patron Open to those who can Guide and show way to NAYs Volunteers.. NAY is an Non Profit Volunteer Organization So I Donate to Support the Youth of India..

Joining Fee 800 400 3000 30000

Membership Annual 100 (Nil) Till they are Students 1000 ---------------------------------

Occasional

For Event:

-----------------

(Note: There is No Fees for Under 14yrs Children)

(I have paid my Membership fee/ Doantion totaling Rs. ...Cash/Cheque Number Dated..Payable to ShabdVidya Sewa Sansthan drawn on.) Signature Date: Authorised Sign.

(Contact Us: 09013250808, 09451118800 Email: shabdvidya@gmail.com, yuvaclub@live.com)

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