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Membership Form and Procedure Dec 20
Membership Form and Procedure Dec 20
Membership Form and Procedure Dec 20
Islamabad Club
Important
1- Please use block letters.
2- Attach copy of passport and diplomatic card of the applicant; issued by Ministry of Foreign Affairs, Pakistan.
3- Form processing fee will be charged at the time of submission of form.
4- ‘Letter of accepting liability for any outstanding dues’ regarding applicant’s membership must be attached
from the concerned embassy/mission/consulate OR signature of one permanent member of the Islamabad
Club would be required as proposer in the column given below.
Proposer
I, the member of the Islamabad Club propose the
Name:_____________________________________
candidature of below mentioned for the diplomatic
membership of the Club. I accept the candidate’s
Membership No:_____________________________
liabilities, in case of default. I do hereby also solemnly
affirm to take responsibility for the behavior/ conduct
of the candidate in my capacity as Proposer if the
Signature:__________________________________
candidate is elected as member of the Club.
Candidate
Name (Mr/Mrs/Ms): ________________________________________ Date of birth ______________________
Embassy/Mission/Consulate: _________________________________ Position: ________________________
Billing address: ____________________________________________________________________________
Tel (O) ______________________ Tel (H) _________________ Mobile ______________________________
Nationality __________________________Email _________________________________________________
Marital Status _______________________ Hobbies/Special Interest__________________________________
Category of membership required (please check)
Six months One year Two years
Candidate’s Family
Give name of your spouse, and children under the age of 26; only if they intend to use the club facilities.
Name of Spouse: ____________________________________ Occupation: ________________________
Names of Children Date of Birth
1 ___________________________________ __________________________________
2 ___________________________________ __________________________________
3 ___________________________________ __________________________________
4 ___________________________________ __________________________________
I declare that the information provided in the form is true & correct.