APPLICATION FOR THE DISTRICT WAR MEMBERSHIP

TO THANUOLOGICAL SOCIETY

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Name of the Applicant :

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House address :

Full Address for

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Communication :

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Phone Number :

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E-mail :

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Website :

Membership for the name

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of the District (Nation):

Payment details :

I am sending Rs.500/=/ US $200/ £150 by Bank D.D. No. __________________
dt. ________________ drawn in favour of Thanuological Society, E-32, Anna nagar
(East), Chennai - 600 102 and payable at Chennai towards membership fee.

To:
The Executive Secretary,
Thanuological Society,
E-32, Anna nagar (East),
Chennai – 600 102, India.

Encl. .....................Signature of the Applicant...........................................

For Office Use Only

Membership No. ..................... Receipt No. ..................... date. .....................

Place : .................... Signature of Registrar ..........................................