2 Photographs

LIFE MEMBERSHIP
(Passport size)

Name:___________________________________________________________________________

Age:________ Date of Birth___________ Religion / Denomination___________________________

Qualification / Profession:__________________________________________ Married / Unmarried

Special Interest: ___________________________________________________________________

Permanent Home Address:__________________________________________________________

________________________________________________________________________________

Residence Address: ________________________________________________________________

________________________________________________________________________________

Office Address:____________________________________________________________________

________________________________________________________________________________

Tel.No. Office: _________________________________Residence___________________________

Receipt No.:___________________________________ Date: ______________________________

Amount Recd:_____________________________________________________________________

Membership No.___________________________________________________________________

I subscribe to the objects and principles of the Association and hereby apply to be admitted as Associate
Member for Life of your Association and agree to observe and abide by the Rules and Regulations, Byelaws
and decisions made or enacted from time to time by the Board of Directors or any Committee of the
Association.

I declare that the information given above is true to the best of my knowledge and belief.

Introduced by:

Name__________________________ Signature___________________________

Signature__________________________

Date:________________ Branch:____________________ Signature of Secretary___________________

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1. MEMBERSHIP
Any person of good moral character irrespective of race, class or creed, who is in sympathy with the
objects of the Association will be eligible for membership.

2. The Board may elect as Life Member any person over 18 years of age eligible for membership of the
Association who pays to the Association such sum as donation as may from time to time be fixed by
the Board. Such donation shall form part of the corpus of the Association and will be used for capital
projects.

3. PRINCIPLES OF THE YMCA:

The YMCA seeks to help young people to develop their wholesome personality – the mind, body and
spirit on sound principles. The basis and model for the YMCA is the personality of Jesus Christ whose
life and teachings form its guiding principles. The word Christian in the name indicates the spirit
behind the YMCA and its motivation.

4. BOARD’S APPROVAL
The Board reserves the right (a) to reject any application for membership without assigning any
reason (b) to terminate membership of any person for willful violations of rules or whose conduct is
deemed prejudicial to the interests of the Association without assigning any reason. An applicant
may be required to appear before a committee prior to admission.

5. Donations to the YMCA funds are exempted from Income Tax under Section 80G. Our Certificate No.
is 80-G/1604/2007/2006-7 dated 14/02/2007 Validity period 1/4/2007 to 31/3/2010. Hereafter
extended perpetually vide circular No. 7/2010 (F.No.197/21/2010-ITA-I) dated 27-10-2010.

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