Membership Form
2
National HRD Network KOLKATA CHAPTER C/o Ms Chandrima De Coordinator – NHRDN Kolkata Chapter Apeejay House, Block A, 8 th Floor 15 Park Street, Kolkata – 700 016 APPLICATION FOR INDIVIDUAL / LIFE MEMBERSHIP I wish to apply for the membership of National HRD Network. My particulars are given below: Type of Membership : Annual / Life Name : Designation : Organisation : Address for Correspondence : City : Pin code Telephone No. (Off.) : (Residen ce) Fax No. : Mobile No. E-mail id : Membership Fees MEMBERSHIP TARIFF Annual Individual: Rs.1000/- p.a. Life Individual: Rs.5000/- Admission Fee : Rs.100/- Cheque / DD may please be drawn in favour of “National HRD Network, Calcutta Chapter”
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Individual Membership Form of NHRDN Kolkata
Transcript of Membership Form
National HRD NetworkK O L K ATA C H A P T E R
C/o Ms Chandrima DeCoordinator – NHRDN Kolkata Chapter
Apeejay House, Block A, 8th Floor15 Park Street, Kolkata – 700 016
APPLICATION FOR INDIVIDUAL / LIFE MEMBERSHIP
I wish to apply for the membership of National HRD Network. My particulars are given below:
Type of Membership : Annual / Life
Name :
Designation :
Organisation :
Address for Correspondence :
City : Pin code
Telephone No. (Off.) : (Residence)
Fax No. : Mobile No.
E-mail id :
Membership Fees Payment by (Pl. check) : Cheque / Demand Draft / Cash
If Cheque / DD : Cheque / DD No. Dated Bank Branch
__________________________Signature
MEMBERSHIP TARIFFAnnual Individual: Rs.1000/- p.a. Life Individual: Rs.5000/-
Admission Fee : Rs.100/-
Cheque / DD may please be drawn in favour of“National HRD Network, Calcutta Chapter”
