Elite Club – BringingSmiles

Member Information Form

Submission of information is mandatory for all registered club members within two weeks of joining. Kindly complete the form below with accurate details.

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DISTRICT / CHAPTER CLUB's NAME

JOINING DATE

MEMBERSHIP TYPE

JOINING AS

PERSONAL INFORMATION

Passport Photo

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NAME

First

Last

CONTACT NO.

DATE OF BIRTH

GENDER

AADHAR NO.

HOBBY

HOBBY JOINING AS

ADDRESS

Address Line 1

City

State / Province / Region

Country

COLLEGE NAME / ORG. NAME

PAST ORG. (NGO)

MEMBERSHIP DUES PAYMENT

Cash Payment
UPI / Online Payment

PAYMENT DATE

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Click to Read Rules & Regulations

Acknowledgement

I Hereby Accept Constitution & Bylaws of Elite Club.