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IHRD Joining Form
IHRD Joining Form
MEMBERS / BOARD MEMBERS JOINING FORM (REFER CLAUSE NO.3.5 OF IHRD TRUST DEED)
PAN CARD NO. AACTI0218C / 80G: URN NO. AACTI0218CF20214 / 12A : URN NO. AACTI0218CE20216
Help Line No. +91 90780 25552, Toll Free No.18002121700 Email: ihrdindiahq@gmail.com, www.ihrd.org.in
NAME OF THE ACTIVIST
(IN FULL CAPITAL LETTERS)
FATHER'S NAME / HUSBAND NAME AFFIX PASSPORT SIZE
(Mark Tick) PHOTO HERE
DATE OF BIRTH
EMAIL ID
PHONE NUMBERS
BLOOD GROUP
CURRENT PROFESSION
NATIONALITY
BANK ACCOUNT DETAILS : "INTERNATIONAL HUMAN RIGHTS DEFENDERS", PUNJAB NATIONAL BANK,
CURRENT ACCOUT NO. 1773102100000343, IFSC: PUNB0177310, SIJIPUT BRANCH
NO OBJECTION CERTIFICATE (NOC) & SELF DECLARATION BY THE MEMBER / BOARD MEMBER
I hereby declare that, the Non-refundable Donation amount paid by me with my knowledge and belief to INTERNATIONAL HUMAN
RIGHTS DEFENDERS (IHRD), Trust Account towards Members Fee / Board Members Donation for issuance of my Identity card & Kit
etc. as well as to help needy people. Also I herewith undertake that, if any illegal activities found by me in future, I will be whole
responsibe for the same and I can not claim to INTERNATIONAL HUMAN RIGHTS DEFENDERS (IHRD).
DATE :…………………………………..
( IHRD AUTHORISED SIGNATURE WITH SEAL )
N.B. : THIS FORM WILL BE FILLED ONLY BY THE AUTHORISED PERSONNEL OF IHRD