MemberShip

Ref. no
Dated

Aplication Form

Name of Applicant
Father's Name
Email
Dob
Age
Res. Address
Educational Qualification
Married / Single
Name of Spouse Mr/Mrs
At present service
Designation
Office Address
Office Tel. No
Mob. No.

  I desire to be a short term Associate Member (5 Years only) of East End Club. I do hereby agree to abide by the R/R & by-laws of the club. Please acknowledge the following amount as a.) membership fees of Rs.25,000/-) b.) GST 18 % i.e.Rs.4500/- c.). Advance annual subscription Rs. 1800/- d.) GST on annual subscription: Rs.324/- Total: 31624/-

Recommended/guaranteed by two club members who has no dues till date

1. Name
Mem. No.
2. Name
Mem. No.