SREE NARAYANA CLUB –THRISSUR
Application for Membership
 

Recent passport size colour photo

Recent passport size colour photo

Member

Spouse
 
 

Name

:

  
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  Date of Birth :  
  Address :  
  Pin code :  
  Phone Number :
 

Res

:

  

Off

:

  
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  Family Details :  
 

SI.
 NO.

Name

Relation

Age/d o b

Education

Profession

Occu
 pation

Marital
Status
               
 
 

Spouse Name

:

  
  Date of Birth :  
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for office use only
 
 

Jp-snc-afm-2007
 

Entrance fee Rs 2500/- yearly subscription Rs 500/-
Life membership for existing members Rs 8000/-
Life membership for new members Rs 10000/-
No yearly subscription for life membership