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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: _______________________________________________________


PIN Code ______________ Ph: (Off) __________________ Mobile: ___________________

Fax :_______________________ Email: ____________________________________________
 
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.