NATIONAL INTEGRATED FORUM OF ARTISTS & ACTIVISTS

2037, Sector 7 Urban Estate, KARNAL-132001 Ph. & Fax: +91-184-4036037, (M): 9996373100
Email: chairman@nifaa.com, nifaaindia@yahoo.com, visit: www.nifaa.com

TIMES

GUINNESS
WORLD RECORD
HOLDER

MEMBERSHIP FORM
Full Name (In Block Letters)

___________________________________________

Date of Birth

___________________________________________

Father' s/Husband' s Name

___________________________________________

Nationality

___________________________________________

Residential Address

___________________________________________
___________________________________________

Telephone No._____________________ Mobile No. _________________________________

Date of Marriage Anniversary

___________________________________________

Occupation _______________________ Hobby_____________________________________

Motivation behind Joining NIFAA

___________________________________________
___________________________________________

ARE YOU INVOLVED IN ANY OTHER SOCIAL/POLITICAL ORGANISATION ? IF YES

Sr. No. Name of the Organisation

Nature of the Organisation

Designation

1.
2.
Areas you would be willing to volunteer (Fund-raising, Education, Youth, Cultural, any other)
___________________________________________________________________________
Area you can travel on projects of
the organization (Distt./State/Nation/International) ___________________________________
Category of Membership (Tick whichever is applicable)
General Member

: (Entry Fees Rs. 600/- Annual Fees Rs. 500/-)

General Member

: (Entry + annual Fees for two years Rs. 1500/-) ________________

Student Member

: (Entry Fees Rs. Nil)

________________

Life Member

: (One time Fees Rs. 11000/-)

________________

Spl. Life Member

: (One time Fees Rs. 21000/-)

________________

Patron Life Member : (One time Fees Rs. 51000/-)

________________

________________

RULES & REGULATIONS FOR MEMBERS OF NATIONAL INTEGRATED FORUM OF

ARTISTS AND ACTIVISTS (NIFAA)
1.

Membership will be given in the name of one single person, which will normally be non
transferable.

2.

Member of NIFAA will not indulge in any act which is against the established law of the land.
He/She will be sole responsible for any such act.

3.

Member of NIFAA will always promote National Integration among fellow members and will not
take part in any anti Nation activity.

4.

Member of NIFAA will use Identity Card of the organization only during programmes of NIFAA.
He/She will be sole responsible for any unauthorized use of NIFAA I.D. Card.

5.

Member of NIFAA will not collect any donation, grant in aid or amount from general public/public
sector/business organizations unless he/she is authorised to do by the executive body of NIFAA
through a resolution.

6.

Branches of NIFAA will make proper accounts of their activities and will present to head office once
in a quarter for audit failing which their affiliation can be revoked without any notice.

7.

Branches of NIFAA will take prior permission from the head office before initiating any
project/activity under the banner of NIFAA.
DECLARATION

I hereby declare that I have carefully read the requisite norms of good conduct and the tenets of
nationalism appended to the form for Membership of National Integrated Forum of Artists and Activists. I
will fully adhere to the said norms of good conduct and tenets of nationalism. In the event of violation of
rules by me under any circumstances, NIFAA is free to take any disciplinary action against me without any
show-cause notice, for which I shall be fully responsible. Please register me as a Member of NIFAA in
accordance with the rules of NIFAA.

Date____________

Signature of the Applicant

For Office Use only

Proposed by_________________________

Seconded by _____________________________

Category of Membership (Life / General / Student

__________________________________

Membership Amount received Rupees

__________________________________

Accepted/Rejected
Cashier/Gen. Secretary/Co-ordinator

Chairman