0512-4124251

ihrjpc2020@gmail.com

New Joine Registration Form

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Refrance No.

Date:

Name of Applicant:

Father's/Husband's/Mother's Name

Date of Birth (DD/MM/YYYY):

Gender:

Blood Group:

Aadhaar Card No.:

Educational Qualification:

Area Applied For:

Any Experience in Social Work:

Address for Communication:

City:

District

State:

Pin

Mobile No.:

Email

DECLARATION OF DOCUMENTS SUBMITTED (Please tick):

Signature of Applicant:

Adhar Card:

Passport Size Photo Here:

Note: Lifetime membership donation is Rs. 1500/- only. If found guilty of misconduct, membership can be terminated without prior notice.

AFFIDAVIT

Name of Applicant:

S/o, D/o, W/o

State:

Pin:

DOB:

Mob No.:

Do hereby solemnly affirm and declare as follows:

1. I will follow all the rules, regulations, and instructions of Antarashtriya Maanavaadhikaar Nyaayik Suraksha Parishad.
2. If I am found guilty of any misconduct, I may be removed from the organization without prior notice as per the decision of the Founder President.
3. I willingly donate the membership contribution and understand that the amount is non-refundable.
4. I take full responsibility for any illegal, immoral, or unauthorized acts committed by me.
5. I shall present my Identity Card whenever required.
6. I shall never misuse my membership or Identity Card.
7. I have read and understood the terms & conditions and undertake to comply with them.
8. If any submitted information is found false or incorrect, I am liable for cancellation of membership as per applicable laws.
9. The Founder President reserves the right to reject any membership without assigning a reason.
10. The Founder President may terminate, suspend, or cancel my membership without prior intimation if deemed necessary.
11. I shall not use the name or logo of the organization for any personal, political or commercial gain.
12. If any fake or forged document is submitted, I shall be liable for legal action.

Verification:

Verified that the above statement is true and correct to the best of my knowledge and belief. Nothing has been concealed.

Date:

Place:

Deponent Signature:

Contact Details

116/88, Rawatpur, Nearl- Ramlala Inter College, Kanpur Nagar, UP 208019

0512-4124251

+91-9415511301

ihrjpc2020@gmail.com

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