MEMBERSHIP ENROLMENT FORM Chief Executive Officer, Youth Hostels Association of India, 5, Nyaya Marg, Chanakyapuri,New Delhi 110021 Dear Sir, I have read the aims and objects of the Association. I undertake the abide by it’s rules and discipline. I am sending my membership for One Year [ ] or Two Year [ ] or Life [ ] by Bank Draft, Draft Amount ______________ Bank Name & DD No._____________________________¬¬¬______ or Cash ___________ dated __________and one photograph (3 x 4.2 cm. Size) for One/Two year membership and 02 photographs for life membership along with photocopy of Identity Proof and Address proof. Please enroll me as a member. Please fill in the BLOCK CAPITALS First Name Mr. / Mrs. / Ms. Last Name Name of Father / Husband Date of Birth (DD / MM / YY) _ _ / _ _ /_ _ Nationality Indian [1] Foreigner [2] Occupation [1] Service [2] Business [3] Student [4] Housewife [5] Others. Address City Pin Code State Tel.No. Mobile No. E-mail ID Dated ________________ Signature of Applicant For Use At State / Unit Office Membership subscription, Rs._________________ received at ___________________ Dated [ ] / [ ] / [ ] Vide Receipt No. ________________ DD MM YY For Use at National Office State [ ] [ ] [ ] Rs. [ ] [ ] [ ] [ ] Unit [ ] [ ] [ ] Rs. [ ] [ ] [ ] [ ] National Office [ ] [ ] [ ] Rs. [ ] [ ] [ ] [ ] Specimen Signature Specimen Signature RATES AND SUBSCRIPTIONS Price Rs. 1. Annual Junior Membership Subscription(above 10 yrs. below 18 yrs) 50.00 2. Membership Subscription (18 years and above) Annual 100.00 Two Years 200.00 3. Life Membership (18 years and above only) on paper card 1500.00 -On PVC card 1500.00 + 50.00 4. Institutional Membership 1 Year 500.00 -do- 5 Yrs. 2000.00 5. Hand Book -Youth Hostels in India 20.00 6. Postage Charges if only membership card required by Registered Post 30.00 7. Postal Charges if other Material also Required by Regd. Post 50.00 Total (Rates and Subscriptions subject to change without notice) 1 The Association cannot accept any responsibility for loss of cards or materials sent to members by ordinary post. 2 All remittances to be sent by Bank Draft drawn in favour of "Youth Hostels Association of India" and Payable at New Delhi. CHEQUES / M.O. ARE NOT ACCEPTED 3 For YHAI annual membership, one 3x4.2cm size photograph is required along with duly filled in Enrolment Form, for Life Membership two photographs required along with Enrolment Form. 4 Identity proof is a must to apply for membership . 5 Annual membership is valid for one calendar year only (January-December) 6 Membership below 18 years is allowed only for one year. WANDERING ONE GATHERS HONEY
Posted on: Thu, 19 Sep 2013 15:34:12 +0000
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