Siri Fort Swimming Pool Form PDF

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Guidelines for grant of 3 months temporary membership for

Siri Fort Sports Complex w.e.f. May, 2015

1 Application forms can be downloaded from home page and sports page
of DDA’s website www.dda.org.in.

2 Only one application should be submitted by an individual.

3 Every month 500 temporary 3 months membership would be issued by


the complex.

4 Filled in downloaded application forms should be submitted during


working hours (10.00 a.m. to 5.00 p.m.) except lunch hours from 1.00
p.m. to 1.30 p.m. on the 20th, 21st and 22nd of every month at the complex.
If any of these three days is a holiday or a non-working day, forms can
also be submitted on the next working day of the month.

5 No fees need to be deposited while submitting the form.

6 The complex will carry out scrutiny of the forms and if more than 500
eligible applications are received, then the list of 500 membership would
be decided through a computerized draw of lots in the presence of
applicants who wish to be present.

7 After the final list of individuals whose membership has been approved is
displayed on the notice board, fees for the temporary membership
alongwith form charges can be deposited by the applicant till the 10 th day
of the following month.

8 This process would be followed from the current month, i.e., from May,
2015.
fnYyh fodkl çkf/dj.k
1" x 11/2"
DELHI DEVELOPMENT AUTHORITY vkdkj dh
fljh iQksVZ [ksy ifjlj nks jaxhu
SIRI FORT SPORTS COMPLEX
iQksVks yxk,a
vLFkk;h lnL;rk gsrq vkosnu i=k (dsoy ý ekg ds fy,) Attach coloured
TEMPORARY MEMBERSHIP APPLICATION FORM (ONLY FOR 3 MONTHS) Photo
dk;kZy; mi;ksx gsrq (Size 1" x 11/2")
in duplicate
1- lnL;rk la-
MEMBERSHIP NO.

2- lnL;rk dh frfFk 3- oS|rk


DATE OF MEMBERSHIP / / VALID UPTO / /

eSa [ksy ifjlj dh vLFkk;h lnL;rk gsrq vkosnu djuk pkgrk gw¡ vkSj fljh iQksVZ [ksy ifjlj ds lHkh fuoU/uksa ,oa 'krksZ dks
ikyu djus dh viuh lgefr nsrk gw¡A esjk fooj.k uhps fn;k x;k gSA
I wish to apply for Temporary Membership of the Sport Complex and agree to abide by all the rules and regulations
of SFSC. The particulars are given below:-
1- uke (lkiQ v{kjksa esa)
NAME (Block Letters)
2- firk@ifr dk uke
FATHER'S/HUSBAND'S NAME
3- vkoklh; dk irk
RESIDENTIAL ADDRESS

fiu dksM@PIN CODE iQksu@PHONE


eksckbZy@MOBILE

bZ&esy@E-mail:
4- dk;kZy; dk irk
OFFICE ADDRESS

fiu dksM@PIN CODE iQksu@PHONE


eksckbZy@MOBILE

bZ&esy@E-mail:
5- O;olk; ,l&lsok] ch&O;olk;] ih&is'kk] vks&vU;
OCCUPATION S-SERVICE, B-BUSINESS, P-PROFESSION,O-OTHERS

6- O;olk; dk fooj.k % inuke@fLFkfr


DETAILS OF OCCUPATION : ...............................................................................................................................
...............................................................................................................................
7. DESIGNATION/POSITION ...............................................................................................................................

8- tUe frfFk@DATE OF BIRTH / /


9- oSokfgd fLFkfr ,e&fookfgr] ,l&vfookfgr] Mh&rykd'kqnk] MCY;w&fo/ok@fo/qj
MARITAL STATUS M-MARRIED, S-SINGLE, D-DIVORCEE, W-WIDOW/WIDOWER
10- jk"Vªh; vkbZ&Hkkjrh;] ,iQ&fons'kh
NATIONALITY I-INDIAN, F-FOREIGN
○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○

ikorh iphZ@ACKNOWLEDGEMENT SLIP


fnYyh fodkl çkf/dj.k
DELHI DEVELOPMENT AUTHORITY
Jh@Jherh@dqekjh---------------------------------------------------------------------------------ls fljhiQksVZ [ksy ifjlj dh vLFkk;h lnL;rk gsrq vkosnu i=k
vkSj --------------------------------#ñ(vadksa esa)--------------------------------------------------------------------------------------------------------------------------#ñ ('kCnksa esa)
dh jkf'k dk-----------------------------------------------------------cSad esa ns; MªkÝV la-----------------------------fnukad--------------------------------çkIr gqvkA
(cSad dk uke)
Received from Mr./Ms./Mrs............................................................................ Application for Temporary Membership of
Siri Fort Sport Complex and a Draft No.............................dt...............................Drawn on....................................................
.............................................. for an amount of Rs.................................
(Name of Bank) (in Figures)
(Rupees.....................................................................................)
(In words) ikorh fyfid ds eksgj lfgr gLrk{kj
fnukad@Date...................................... Signature of receiving clerk with stamp
5

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