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  • Membership 177210135

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    Arjun Singh
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    1) The document is a membership form for the Excell Welfare Charitable Trust located in New Delhi, India. 2) It requests information such as the applicant's name, address, age, nationality, education, profession, whether they are dependent on someone with a disability, and their relationship to that dependent. 3) The form also asks the applicant to select a membership category (life, associate, or ordinary) and includes an oath for upholding the trust's mission of serving people with disabilities and not using the membership for commercial gain.

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    MEMBERSHIP.177210135

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    1) The document is a membership form for the Excell Welfare Charitable Trust located in New Delhi, India. 2) It requests information such as the applicant's name, address, age, nationality, education, profession, whether they are dependent on someone with a disability, and their relationship to that dependent. 3) The form also asks the applicant to select a membership category (life, associate, or ordinary) and includes an oath for upholding the trust's mission of serving people with disabilities and not using the membership for commercial gain.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    3 views2 pages

    Membership 177210135

    Uploaded by

    Arjun Singh
    1) The document is a membership form for the Excell Welfare Charitable Trust located in New Delhi, India. 2) It requests information such as the applicant's name, address, age, nationality, education, profession, whether they are dependent on someone with a disability, and their relationship to that dependent. 3) The form also asks the applicant to select a membership category (life, associate, or ordinary) and includes an oath for upholding the trust's mission of serving people with disabilities and not using the membership for commercial gain.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    of 2

    EXCELL WELFARE CHARITABLE TRUST

    PLOT NO.A-25/01, SHYAM VIHAR, PHASE-II GOLA DAIRY ROAD, NAZAFGARH, NEW DELHI -110 43
    S.No.

    MEMBERSHIP FORM

    1. 2. 3.

    NAME (In Block Letters) FATHERS NAME PRESENT ADDRESS

    : : :

    .. .. .. .. ..

    4. 5. 6. 7. 8. 9. 10.

    AGE AS ON DATE NATIONALITY

    : :

    .. ..

    EDUCATIONAL BACKGROUND: .. PROFESSION WHETHER ALREADY MEMBER OF ANY OTHER TRUST DETAILS OF CHARITABLE INSTITUTION WHETHER DEPENDENT :
    SUFFERING FROM DISABILITY

    : : :

    .. YES/NO ..

    ..

    P.T.O. P.2.

    -2-

    11. 12.

    RELATION WITH DEPENDENT : CATEGORY OF MEMBERSHIP (LIFE/ASSOCIATE/ORDINARY)

    I do solemnly affirm that I shall devote myself to the service and well being of the people of India and humanity, that to the best of my ability and knowledge. I shall honestly, diligently, faithfully and without any fear, favour or ill-will discharge the duties of the profession upon which I am about to enter, that I shall uphold and maintain the honour and noble tradition of the profession, tohat the rehabilitation of the persons with disabilities shall be my best consideration and I shall maintain and respect the secrets and standards of professional conduct and etiquette and observe the code of ethics laid down in the Rehabilitation Council of India (Standard of Professional Conduct, Etiquette and Code of Ethics for Rehabilitation ProfessionL). I shall not use this forum for commercial purpose or for self gain or any other activity which has been disliked by the Society/Govt of India under Disability Act 1995.

    Signature of Applicant Place: .. Date: Full Designation: Address:. Name:

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