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NUST SADDLE CLUB MEMBERSHIP FORM 1x1

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MEMBER INFORMATION

Student/Faculty Student Date of 1997-05-26


/Support Staff: Birth:
Name: OSAMA MAQSOOD JANJUA S/O MUHAMMAD MAQSOOD JANJUA
CNIC No: 3410149972553
Present Residential DHA phase 2 Islamabad
Address:

Perm Residential Address: DHA phase 2 Islamabad

School / Institution / Dte: SMME

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Category of Student: UG Semester: Sixth Semester

Tel No: Residence: Mobile No: 03233324919

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CERTIFICATE
I, hereby give an undertaking that my son, OSAMA MAQSOOD JANJUA(00000134551), is
permitted to attend riding classes in NUST Saddle Club and I take full responsibilities for any
accident or fall that may occur during the course of riding. I myself and my child will adhere to
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the rules and instructions of the club and abide by the general instructions issued.

Dated: ____________ _____________________________


(Signature of Parents / Guardians)
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CERTIFICATE SUBMISSION OF FEE


I, hereby acknowledge that membership (one time) of Rs. 500/- and monthly fee of Rs.
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1000/- is deposited under the Account Name NUST Sports (22927901792101) at HBL Bank
Branch NUST, H12 vide Challen No.___________
Recommended / Not recommended
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Dated: ____________ _____________________________


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(Signature of Secy)

Recommended / Not recommended

Dated: ____________ _____________________________


(Signature of Vice President)

Approved / Not Approved

Dated: ____________ _____________________________


(Signature of President)
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