Membership Form Of Yla
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Young Librarians Association (Reg. No. 01/01/01/21553/10) 86, Sami Manzil, Near Masjid, Haneef Colony, Berasia Road, Karond, Bhopal, (M. P.) Mob. 09827369345, Email: [email protected] MEMBERSHIP FORM Dear Sir, I am in understanding with the intents of the Young Librarians Association (YLA), and I hereby apply for admission to Membership. Please accept my vital membership. Particulars for membership are furnished below: Name: (Surname first) : Fathers/Husband Name : Date of Birth : Academic Qualification ; Designation : Department : Institution/Organization : E-Mail /Mobile No. : Office Address : Home Address : Date ---------------------- Yours faithfully Life Membership : Individual : Rs. 1500.00 (Including a copy of the Annual Journal) Institutional : Rs. 5000.00 (Including a copy of the Annual Journal) Annual Membership : Individual : Rs. 400.00 (Including a copy of the Annual Journal) Institutional : Rs. 900.00 (Including a copy of the Annual Journal) Please find enclosed Cheque/DD No. ……………………………… Drawn on (Name of Bank)… … … …………………………………… Dated ……………………… For Rs. ……………………………………..
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Transcript of Membership Form Of Yla
Young Librarians Association(Reg. No. 01/01/01/21553/10)
86, Sami Manzil, Near Masjid, Haneef Colony, Berasia Road, Karond, Bhopal, (M. P.) Mob. 09827369345, Email: [email protected]
MEMBERSHIP FORM
Dear Sir,
I am in understanding with the intents of the Young Librarians Association (YLA), and I hereby
apply for admission to Membership. Please accept my vital membership.
Particulars for membership are furnished below: Name: (Surname first) :
Fathers/Husband Name :
Date of Birth :
Academic Qualification ;
Designation :
Department :
Institution/Organization :
E-Mail /Mobile No. :
Office Address :
Home Address :
Date ---------------------- Yours faithfully
Life Membership : Individual : Rs. 1500.00 (Including a copy of the Annual Journal)
Institutional : Rs. 5000.00 (Including a copy of the Annual Journal)
Annual Membership : Individual : Rs. 400.00 (Including a copy of the Annual Journal)
Institutional : Rs. 900.00 (Including a copy of the Annual Journal)
Please find enclosed Cheque/DD No. ……………………………… Drawn on (Name of Bank)… … …
……………………………………Dated ……………………… For Rs. ……………………………………..
Favoring: Young Librarians Association, Bhopal
Money Receipt Received sum of Rs. ………………………… on behalf of Young Librarian Association (YLA) towards the payment of Annual/Life membership for the year …………………………….from Shri/ Mrs./Ms. ……………………………………..
Signature
