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Ashish Jayantilal PataniHonorary Treasurer

Mobile: +44 (0)7708 753 510Email: ashish.patani@oshwal.orgWeb: www.oshwal.org.uk

Registered Office: Oshwal Centre, Coopers Lane Road, Northaw, Herts. EN6 4DG

Tel: 01707 643838 • Email: admin@oshwal.org • Website: www.oshwal.org

Registered in accordance with the Charities Act, 1960. Charity No. 267037

New Address Details

House Name / No.

Street

Street

Town

County

Post Code

Telephone Home

TelephoneOffice

Mobile

Email

NAMES OF ONLY THOSE MEMBERS IN THE FAMILY WHO HAVE MOVED TO THE NEW ADDRESS

Name Date of Birth

1

2

3

4

5

6

Membership No

Name/ Signature

Date

Old Address Details

House Name / No.

Street

Street

Town

County

Post Code

Are there any members remaining behind at the old address?

Yes / No

Personal Email Personal Mobile

Other Details

Nukh (FamilyName-Malde,Haria,etc)

Name of Village (Chela,Dabasangh,etc)

ResidencepriortoUK

Business Type

Occupation

Qualification

Area (i.e.North,NorthWestetc.)

Class of MembershipLife/Associate

Membership No.

Telephone Home

TelephoneOffice

Mobile

Email