MUSLIM UNION OF YOUTH

PAKISTAN
PULL BANDIAN WALA CHONGI AMER SIDHU LAHORE 0323-4187363,
03104557990
MUYP0625@GMAIL.COM
MEMBERSHIP APPLICATION
SR. NO________________________
Name

Phone (Home) ___________ ________

(Work/Mobile)

Address
Street
CNIC: ___

City
Date of Birth ______________

Dist.
M/F

Hobbies, Interests, Skills

____________________________________________________________________________
How did you hear about MUYP?
Person to contact in case of emergency
Relationship to person

Contact phone

I understand that all the information on this form is voluntarily supplied and
may be used and disclosed for organizational purposes only. I also agree to
release and hold harmless the staff, the volunteers, and the board of
directors of MUYP
from any and all liability for disclosing this information
to agencies and their agents. I hereby my services and understand that I am
not a paid employee of any agency or group to which I may not accept
assignment, nor am I an employee of MUYP. By becoming a member, I
understand that I will have the opportunity to participate in many individual
and group projects for the development of our organization and its purposes

Youth Applicants Signature and Date

CHAIRPERSONS Signature

Date