Application Form for Registration (Application form cum Data Sheet for Registration to be submitted by authorized person at the time of Registration.) 1-Name of Society 2-Address of Society 3-Proposal Date 4-Area of Operation Regional/District/State/National 5-Fees Cash/Bank Draft 6-Bank Draft No and Date 7-Name of Issuing Bank 8-Name of Paying Bank 9-Main Office Bearers of Managing Commettee Sno. Name Father/Hus Name Address Occupation Designation 10-Applicant's Name and Designation 11-Class of Membership General/Special/Lifetime/Patron/Ex-Officio 12-Quoram 1 / 3 / 2 / 3 / 3 / 4 / 4 / 5 13-Bank Account 1- Operated By 2- 3- 14-Termination of Membership Death/Insolvency/Insanity/Resignation 15-Tenure of Managing Commettee 16-Class of Society Club/Education/Religion/Trust/Cultural/Sports/Mangal Dal/ Govt/Jalagam/KVIC/General Next Election Due on Documents as per details above are submitted for registration.This is to certify that information given above is correct as per best of my knowledge and belief. Dated Signature of Applicant Name and Designation of Applicant Enclosure- 1 - Memorendum - in duplicate 2 - Bye Laws - in duplicate 3 - Notary Affidavit 4 - Fees (Cash/Bank Draft) No.,Date and Amount 5 - Proposal For Office Use Only 1- Registration No.- 2-File No. 3- Fee Reciept No
