ORDP Chennai

A Quantum Physics Confederation

Membership Registration Form

Name:
Gender:
Date of birth:
Age:
Address:
Mobile :
E-Mail :

Qualification:
Profession:
Hobbies:
Area of interest:

Are you pursuing any research activity (personal or academic)? If yes, kindly provide the
details.

What kind of skills or talents you have? (e.g: writing, drawing, public speaking,
communication, networking, marketing, web designing, Photoshop skills, language
proficiency, photography, singing, dancing, etc)

Are you a member of any specific group, club, association, spiritual organization, etc? If
so, please do mention:

Are you involved in any social activities? If yes, what kind of activities youre into?

How do you know about quantum physics?

Whats your religious view?

Currently ORDP Chennai has four departments mentioned below, tell us which one
interests you most ? ______
A. Psychic & Paranormal
B. Ancient Indian Technologies
C. Tesla Wing
D. ET (Extra-Terrestrial) Wing

Do you have any basic knowledge in the field mentioned above?

How do you describe yourself in just few lines?

Would you like to volunteer for the activities of ORDP Chennai?

Date:
Place:
Note: kindly attach your recent photograph with this form and send it to
ordp.chennai@gmail.com