| I heartily endorse and subscribe to the principles, and ideals of the Bhavan and request you to enrol me as a Life Member & a Life-Subscriber for the periodical indicated below. |
I have remitted Rs. 5,000/- by M.O./ Cheque/ D.D. No.________________ on ________________ Bank/ enclosed. |
1. |
Name |
_______________________________________________________ |
2. |
Address |
_______________________________________________________
_______________________________________________________
_______________________________________________________
Pincode : _______________________________________________ |
3. |
Date of Birth |
_______________________________________________________ |
4. |
Telephone Nos. |
Off : ________________________ Res. :______________________ |
5. |
Periodical Opted. |
Bhavan's Journal/
Navneet Hindi/
Navneet Samarpan |
|
P.S. |
1. |
Write the name and address in BLOCK LETTERS. |
2. |
Intimate change in address whenever takes place. |
3. |
Strike off whichever not required. |
|
