LIFE MEMBERSHIP FORM

Date: *

Form No.: *

To,

The President/Gen.Secretary

Shree Padmashali Telugu Samaj Sangham

Indira Nagar H.D.CHS,Sion Koliwada(E)

Mumbai - 400 037

Dear Sir,

I hereby agree and undertake to abide by all the rules & regulation of the sangh.
I request you to take me as Life Member.

Full Name Shri/Smt./Kum.: *

Father's/Guardian Name:

Mother's Name:

Date of Birth:

Age:

Education Qualification:

Residential Address:

Area: *

Pincode: *

City: *

State: *

Mob.: *

Office Address:

Area:

Pincode:

City:

State:

Tel.:

Native Place Address:

Area:

Pincode:

City:

State:

E-mail Id:

WhatsApp Mobile Number.:

Hobbies:

Aadhaar Card Number.: *

All the above furnished information is true & correct.
If I change my current address I will inform to sangh.

Introduced By:

Signature of the Applicant: *

Life Membership No.:

Encl.: Aadhar Card, Ration Card, Xerox, and Stamp Size 2 Photos.

OLD MEMBERSHIP FORM

Date: *

Form No.: *

To,

The President/Gen.Secretary

Shree Padmashali Telugu Samaj Sangham

Indira Nagar H.D.CHS,Sion Koliwada(E)

Mumbai - 400 037

Dear Sir,

I hereby agree and undertake to abide by all the rules & regulation of the sangh.
I request you to take my record for updation.

Upload Image

Full Name Shri/Smt./Kum.: *

Father's/Guardian Name:

Mother's Name:

Date of Birth:

Age:

Education Qualification:

Residential Address:

Area: *

Pincode: *

City: *

State: *

Mob.: *

Office Address:

Area:

Pincode:

City:

State:

Tel.:

Native Place Address:

Area:

Pincode:

City:

State:

E-mail Id:

WhatsApp Mobile Number.:

Hobbies:

Aadhaar Card Number.: *

All the above furnished information is true & correct.
If I change my current address I will inform to sangh.

Signature of the Applicant:

Encl.: Aadhar Card, Ration Card, Xerox, and Stamp Size 2 Photos.

ORDINARY MEMBERSHIP FORM

Date: *

Form No.: *

To,

The President/Gen.Secretary

Shree Padmashali Telugu Samaj Sangham

Indira Nagar H.D.CHS,Sion Koliwada(E)

Mumbai - 400 037

Dear Sir,

I hereby agree and undertake to abide by all the rules & regulation of the sangh.
I request you to take me as Member.

Full Name Shri/Smt./Kum.: *

Father's/Guardian Name:

Mother's Name:

Date of Birth:

Age:

Education Qualification:

Residential Address:

Area: *

Pincode: *

City: *

State: *

Mob.: *

Office Address:

Area:

Pincode:

City:

State:

Tel.:

Native Place Address:

Area:

Pincode:

City:

State:

E-mail Id:

WhatsApp Mobile Number.:

Hobbies:

Aadhaar Card Number.: *

All the above furnished information is true & correct.
If I change my current address I will inform to sangh.

Introduced By:

Signature of the Applicant: *

Life Membership No.:

Encl.: Aadhar Card, Ration Card, Xerox, and Stamp Size 2 Photos.

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Shree Padmashali Telugu Samaj Sangh was established in the year 2008. The main objective to uplift our Community People in the fields of Educational, Medical, Sports, Economical, Social and Cultural activities.

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