Membership Form
Dear Sir,
I would like to have the membership of welfare society. I submit herewith the details.
1. Name : ..............................................
2. Occupation : ..............................................
3. Telephone No. & Email : .............................................................................
4. Name of the Building : .............................................................................
5. Flat No. : .............................................................................
6. Name of the Flat Owner . .............................................................................
Address : .............................................................................
.............................................................................
Telephone No : .............................................................................
7. Presently occupied by : .............................................................................
8. Vehicle No Owned by You : .............................................................................
(For the purpose of issuing the sticket for the vehicle)
9. Details of family members : .............................................................................
(with name and relationship)
10. Emergency Contact No. : .............................................................................
and Name
11. Details of Handicapped : .............................................................................
Persons (if any)
Note : 1. Please attach one additional recent passport size photograph for the purpose of issuing I.D.Card.
2. By signing this membership, I agree to all bylaws/terms and conditions decided by the executive committee.
(Signature with Date)
Dalibagh Enclave Resident's Welfare Housing Society
202, Grandur-3, Lok Manya Tilak Marg,
Lucknow - 226 001
Mobile No. : 9415408419
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All are requested to please fillup the form and submit it with one editional photograph to the Secretary - Dalibagh Enclave Residence Welfare Society, 202, Grandeur-3, Lok Manya Tilak Marg,Lucknow - 226 001Mobile No. : 9415408419 all the Flat Owners also advised not to rent out their Flats without Police Verification.
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