इलाहाबाद कंप्यूटर डीलर वेलफेयर एसोसिएशन

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Membership Form

Name of the Firm :

Registered Address :

Upload Photo

Year of Establishment :

Postal Address/Residence Address:

Prop./Partner(s)/Director(s) Name :

Blood Group :

Date of Birth/Marriage Anniversary :

Email :

Telephone :

Tin No. :

PAN No. :

Nature of Business :

Payment Detail's :

Any Other Detail's :

I/We hereby agree to abide by the norms and conditions as laid down by the association from time to time. All the above information provided is true to the best of my/our knowledge.

Date :

Place :

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(Signature with stamp)

**Fee for new Members is Rs. 3500/- Fee for members who are continuing is Rs. 2500/- please pay by cheque/D.D./Cash in favour of Allahabad Computers Dealers Welfare Association, Prayagraj (ALLAHABAD)

***Your candidature must be approved by any Two existing Members.

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Membership Form

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