mem. no. m¬eÀervejefìme& smeesefmesmeve membership form 2019... · 2020. 11. 30. ·...
Post on 19-Feb-2021
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meom³elee-He$e MEMBERSHIP-FORM
cenemeef®eJe /Hon. General Secretary
m¬eÀervejeFìme& SmeesefmeSµeve Screenwriters Association
Mumbai - 400 053.
cewQ SmeesefmeSMeve keÀe meom³e yeveves kesÀ efueS efveJesove keÀj jne / jner ntB ~ cesjer J³eefkeÌleiele peevekeÀejer Fme ÒekeÀej nw ~ I request you to enroll me as a Member of the Association, particulars regarding me are as follows -
veece / Name
efHelee /ceelee keÀe veece Father/Mother’s Name
Gce´ /Age pevce leejerKe /Date of Birth
Mew#eefCekeÀ ³eesi³elee /Educational Qualification
efjueer]pe ngF& ef]HeÀuce/meerefj³eue/Dee@ef[³ees keÀ@mesì/DeueyeceReleased Picture/Serial/Audio Cassestte/Album
efjueer]pe keÀe Je
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Sign. of the receiver
efìHHeCeer
Remarks
Chq. No. Date:
Bank Name
Branch
keÀe³ee&ue³e kesÀ Ghe³eesie kesÀ efueS / For Office Use Only
efvecveefueefKele jeefMe ®eskeÀ Üeje /vekeÀo ÒeeHle keÀer / Received the money as below:
DeeJesove He$e / Application Form
ÒeJesMe MegukeÀ / Admission Fee
Jeeef
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