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Friends of Literacy and

Mass Education
31 July 2007

MEMBERSHIP FORM

Full Name ----------------------------------------------------------

Profession ----------------------------------------------------------

NIC No. -------------------------------------------------------------

Address --------------------------------------------------------------

Telephone:

Office ---------------------Fax --------------------Residence Address/Phone


-----------------------------------------------------------------------------------------------------------
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E.mail ---------------------------------------------------------------

Enrolled as Friend:

Ambassador ® Mansoor Alam Signature--------------------------------------


Chairman, FLAME Date -------------------------------------------

- Life Membership fee Rs. 25,000 (Rupees twenty-five thousand only) - one
time contribution.
- Ordinary Membership Rs. 5000 (Rupees five thousand only) annually.
- FLAME’s achievement since it was founded in 2001
- Schools 185
- Total number of students over 7000 (girls 65%)
- Mobile Health Unit (MHU) 3 with 11 MBBS lady doctors who provide free
medical care including medicine to over 4000 children every 10 weeks.
One Vocational Training Center for girls. Nine more to be started in the next
one year.

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