Name of the Applicant Residential Address Pin Code Telephone No Designation Company Name & Address Pager / Cellular Sex Marital Status Vehicle Correspondence Male Female Single Married Two Wheeler Four Wheeler Residence Office                  Date of Birth          Wedding Date           If Salaried Self Employed Professional Public Sector Public Ltd. Co. Pvt. Ltd. Co.   Proprietor Pvt. Ltd. Co. Partnership C.A Architect Engineer Doctor Journalist Lawyer Banker Executive Consultant Others   Dependent Members ( Eligibility : Applicant's Mother, Spouse, Sons below 21 years & Unmarried Daughters) SL. No. Name Relationship Date of Birth Hobbies 1 2 3 4 Name of the other Clubs which the Applicant is a Member 1. 2. 3. Credit Card Details Name of the Card Card No. You/Your Family's Interest In Social & Cultural Activities (Yes/No) If Yes 1.       2. Nature of Business Any other Information   Applicant area's of Interest Billiards Cards Table Tennis Tennis Shuttle Indoor Games Library Swimming Gym The applicant is personally known to me and I consider him/her suitable for membership of the Club References Proposer Seconder Name Membership No
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