NRI Relation

Membership Form

1.	Category of membership	:
2.	Name	:
3.	Birth Place & Country	:
4.	Father's Name	:
5.	Mother's Name	:
6.	Age	:	Blood Group	:
7.	Qualification	:
	Academic

	Technical or Any Special Qualification

8.	Profession/Occupation	:
9.	Name of the Company (If Corporate Membership)

	Turnover : Branches :
10.	Facilities required in India :

11.	Citizen Category (at present) & Passport no. ?

12.	Insurance Policy no. & Provider Company with Coverage :

13.	Residence Address	:
	Phone	:
14.	Office Address	:
	Email	:
	Website	:
15.	Address in India(if any)	:
16.	How many times visiting India in a year (normally)			:
17.	Social Service would you like (in detail) :

18.	Hobbies	:
19.	Language known	:
20.	What are your future expectations from NRI Relation Council?

21.	Type of Membership?	:
22.	Reference from the Membership (List could be given seperately with Email, website address & tel nos. etc.)

23.	Introduced by (Name, Tel, Email, Website) :

24.	Mode of Payment	:
	Cheque/Draft No.	:
	Cheque/Draft to be made in the favour of "NRI Relation Council, New Delhi (India)"
	For Online Transfer ICICI Bank Account No. - 025001002-468

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