Amrapali Leisure Valley Villa Social Welfare Society

VISWAS
Regd. Office: G-256, 3rd Floor, Sector-63, Noida.(U.P.)
Email: alv.viswas.rwa@gmail.com
(Regn. No. 534/61060-M/2866/2015-16 dated 20.8.2015)

MEMBERSHIP FORM
I/We hereby agree to be a member/members of the Amrapali Leisure Valley Villa Social Welfare
Society (VISWAS) and undertake to abide by the Rules and Regulations as stated in the Bye-laws of the
Society. I/We am/ are furnishing herewith the following particulars about me/us, which are true and
correct to the best of my/ our knowledge.
Villa No.____________

Date _______________

Photo 1

Photo 2

(First Member)
(Second Member)
1. First Member Mr./Mrs./Ms. : .
2. S/D/W of : ....
3. E-mail ID

Residence Phone No..

Mobile No

Office Phone No......

4. Second Member Mr./Mrs./Ms. :

S/D/W of :
5. E-mail ID

Residence Phone No..

Mobile No

Office Phone No......

6. Relationship with First Member: ..

7. Address for Correspondence of First Member:

8. Address for Correspondence of Second Member:

9. Date of Birth: (i) ..... (ii) ...

10. Attached Self-attested copy of the ALV Villa allotment Letter (Y/N)
11. Attached Self-attested copy of Address Proof (Y/N)

Payment Details
Payment Details: Rs. 2000/- vide Cheque/Online Payment No....
dated .. of..Bank
Remarks: Additional Information...
.
Date:
SIGNATURE OF MEMBER (s) --------------------------------

----------------------------------------

FOR OFFICE USE

Membership Accepted

or

Rejected

If yes Membership No.

(SECRETARY)

(PRESIDENT)

Place:
Date:
Enclosures: (4)

Self-attested copy of the ALV Villa allotment Letter

Self-attested copy of Address Proof & ID Proof

2 Passport Size Photographs

Payment Option (Any of the following mode)

Cheque for Rs. 2,000/- drawn in the name of Amrapali Leisure Valley Villa Social Welfare
Society
Rs. 2,000/- in Cash
Rs. 2,000/- online transfer to Amrapali Leisure Valley Villa Social Welfare Society A/C0632000000003127, IFSC-CODE- NTBL0NOI063, mentioning villa number in subject.( Nainital
Bank , Sector 50), please ensure to note down the transaction number if transferring money
online.

Disclaimer After filling up this form you have to send it by courier/speed post to society address
G-256, 3rd Floor, Sector-63, Noida.(U.P.) . Please note that without the receipt of the above
document your membership request will not be approved, association will not be responsible for
returning the membership fees. The association is governed by bylaws whose copy can be accessed
online or can be requested from the governing body members.
At any point of time if the member loses ownership of villa then his membership will automatically be
closed and its the member responsibility to notify the association about the same.