Vishwa Yuvak Kenda
Circular Road, Chanakyapuri New Delhi – 110 021
Ph: 011-23013631-35. Email: vyk@vykonline.org |
Membership Registration Form |
Name of the organization : ______________________________________________________ |
Establishment in (Year) _____________ Registration in (Year) _____________
Whether FCRA Reg.(Yes/No) _________ |
Contact Person : ________________________ Designation : _________________________ |
Address: _______________________________________________________ |
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PIN Code ______________ Ph: (Off) __________________ Mobile: ___________________ |
Fax :_______________________ Email: ____________________________________________ |
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| Yes, we wish to be enrolled as an Institutional Member of Vishwa Yuvak Kendra! |
| Enclosed please find Cash/Money Order/Demand Draft No.___________________ |
| Dated _________ payable to Vishwa Yuvak Kendra New Delhi for Rs.500.00 (Rupees five hundred only) towards annual membership charges of Vishwa Yuvak Kendra and enroll us as an Institutional Member for the year _________________ |
| Date: ______________ |
Signature :__________________ |
Filled-in application form along with DD/MO can be sent to the Director, Vishwa Yuvak Kendra at the above address. |