SOCIETY FOR ENVIRONMENT CONSERVATION AND RESEARCH
Nature
Club Membership Registration Form
For Schools / Colleges / Institutes /
Volunteer organizations / Public groups
Urban / Rural
Registration number:
Institute name: ___________________________________________________________________
Address:
_________________________________________________________________________
_________________________________________________________________________________
Contact no.-________________________
E-mail: _______________________________________
Name of the nature club:
____________________________________________________________
Name of the mentor:
________________________________________________________________
Registration
fees:
Urban (one year): Rs.500/-.
Renewal: 250/-
Rural (one year) Rs.100/-. Renewal: 50/-
Total number of members =
________________X Rs.50/- = Rs._________________
Total payable
Rs._________________________________________________
The amount can be paid in the
form of Cash / Cheque / DD / Bank Transfer.
Cheque/DD should
be made in favour of ‘Society for Environment Conservation and Research’
Payable at ‘Mumbai’
Signature of the advisor / Nature
Club, GS
Seal of the institute
Please
send the complete list of members with their names, class, gender and age.
For official use:
Amount paid __________________
receipt no. ______________dated:______________
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