1. Member's Name

2(a). Member's Code

2(b). Telephone No

2(c). E-mail address

3(a). Number of visits
 
 

3(b) If not visited, Reason

4. Facilities Used During the Visits
 
SWIMMING CARROM TABLE TENNIS
CARDS CONFERENCES RESTAURANT
BAR BILLIARDS COTTAGES
TENNIS PARTIES    
INDOOR SHETTLE GYM    

5(a). How would you rate our services in the above facilities
 
EXCELLENT SATISFACTORY TO BE IMPROVED

5(b). Suggestions, if any

6. Programmes attended

7. Programmes you like us to conduct

8. Would you like to introduce members in future
  YES NO  
  If yes, please write the prospective members details
 
1.
2.
3.

9. Grievances & Suggestions, if any

 
 
 
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