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Family Member Details
DEVLI DURGA PUJA SAMITINAI BASTI, DEVLI, NEW DELHI - 110080
Web: www.devlidurgapuja.comEmail: [email protected]
Membership No
Name Father's Name
Address
Mobile No -1 Mobile No -2 Land Phone
Email ID
Occupation
Dated G D M M Y Y Y Y
Signature
Membership Fee
Relation Occupation
PIN
Name
FOR OFFICE USE ONLY Membership No G D M M Y Y Y Y
Dated G D M M Y Y Y Y
For, DEVLI DURGA PUJA SAMITI
Membership Fee
Date of Joining
No of Family Members
MEMBERSHIP APPLICATION FORM
