VATAKARA NRI FORUM UAE

P.O. Box 36721, Abu Dhabi, United Arab Emirates

E-mail: [email protected]

MEMBERSHIP APPLICATION FORM

 
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Personal Information :

Name in full (as in passport)*
Username
Password
Age*
Date of Birth*
Place of Birth
Upload Photo(4.5cmX3.5cm)*
Educational Qualification
Profession
Extra Curricular Activities
Membership in other Associations

Address in UAE:

Company/Organization*
P.O.Box*
Emirate*
Tel. Res.*
Office
Mobile*
Email*
Marital Status
No. of children
Family resident in Emirate
Single Please make a selection. Married Please make a selection.
Yes Please make a selection. No Please make a selection.

Permanent address in India:

House No/Name*
Constituency : Assembly
Municipality / Panchayat
Ward
Mobile
Tel*

Name of nominee in Emirate or in India :

Name*
Relationship
Address
Mobile
Tel
Email
I hereby declare that I shall abide by the Forum's Constitution, rules and regulations in force.

 

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