ABHINAV SAMAJ (The Charitable Trust)

Regd.Office; R-10, R-Block, Old Uttam Nagar, New Delhi-110059 (INDIA)

Jai Maa Durga Old-Age Home

Plot No.8, Chander Vihar, Near Ajay Vatika, Nilothi Vill., New Delhi-110041 (INDIA)


Website; www.abhinavsamaj.org

Email : abhinavsamaj2010@gmail.com, info@abhinavsamaj.org


Phone : +91 11 25371724

Mobile : +91 9810901970


MEMBERSHIP-FORM

    Photo
   
1. Full Name
2. Father's/Husband's Name
3. Mobile/Phone No
4. Address
     
5. Nationality
6. Date of Birth
7. Anniversary
8. Qualifications
9. Interests
10. Whether associated with any other NGO,if yes details pls
11. Any other information
12. Particulars of donation (if any) Cheque or DD in favor of ABHINAV SAMAJ (if on-line transfer through our website please quote Receipt No Date
    Signature
 

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