Membership Form

All India Council Of Human Rights, Liberties & Social Justice
REGISTERED SOCIETY UNDER NCT GOVT NEW DELHI, UNDER THE SOCIETY REGISTRATION ACT (XXI) 0F 1860 GOVT OF INDIA REGISTERED WITH PLANNING COMMISSION OF INDIA VIDE UNIQUE ID : DL/2011/0045728 UNDER PARTNERSHIP SYSTEMS
APPLICATION FORM
FOR NEW MEMBERSHIP
(Common Application)
SUBMIT THE COMPLETE FORM WITH THE FOLLOWING DOCUMENTS AND SEND TO US ON THE BELOW ADDRESS FOR SELECTION
SELECTION PROCESS TIME 7/10 DAYS
NOTE: KINDLY SEND THE FOLLOWING DOCUMENTS ALONG WITH THE APPLICATION 1. 4 NOS. PASSPORT SIZE PHOTO 2. ADDRESS PROOF & PHOTO ID PROOF 3. DD/CHEQUE FOR YOUR DOCUMENT PREPARATION 4. IF ADVOCATE : BAR COUNCIL ID CARD 5. RC COPY FOR CAR STICKER 6. Self Address Envelope with complete address with pin code
CONTACT / POSTAL ADDRESS

CENTRAL OFFICE: H-10, BASEMENT, NDSE PART ONE NEW DELHI 110 049 Phone: 011 41349791, 9873087903 visit: www.humanrightscouncil.in , news : www.newsindiatoday.com , Email: humanrightscouncil.org@gmail.com

To, CHAIRMAN CENTRAL SELECTION COMMITTEE MEMBERSHIP FORM (Fill the form with Capital Letter only) Member Name Fathers Name Date Of Birth Mobile : ________________ : ________________ : ________________ :________________ Landline :________________
PASTE YOUR PASSPORT PHOTOGRAPH WITH FRONT FACE AND SELF SIGNATURE AT THE BACK SIDE
Email ID ( Capital Letter Only) : ________________ Residence Address Permanent Residence Address Present Qualification : _________________________________________ : _________________________________________ : _________________________________________
I am declaring that I am joining the organization with my own acceptance and consent and not been forced by anyone and want to help the organization to serve the society with dignity, will not do any illegal activity which against the Indian law and society Please provide three references ( One from Govt. Sector) : 1. Name_________________Mobile__________Relationship____________email ID______________ 2. Name_________________Mobile__________Relationship____________email ID______________ 3. Name________________ Mobile__________Relationship____________email ID______________ Signature Member _________________ Date ___________________
Official Use Only

The National Selection Committee has examined your all details and hereby Approve / Disapprove your Application for the membership. Membership No. Designation granted Signature Chairman Selection Committee : ___________________________ : ___________________________ Signature National President

MUST ANSWER THESE QUESTION

Common form for AICHLS/NCNB What is your objective to join this organization? How do you want to serve the society? How you came to know about us ? Are you joining with your own consent? : Yes / No Have you ever been pressurised by any existing member or anybody to become part of our AICHLS/NCNB: Yes / No Have you ever been convicted by any court in India : Yes / No. Have you ever involved with any illegal activity which is against the Indian Law/Constitution: Yes / No. Have you ever been involved with any human rights activity: Yes / No Are you ready to serve the society voluntarily / without Any remuneration / Commission / Salary etc.? : Yes/ No At what level are you ready to take responsibility & How many membership can you generate from your social network? : Are you ready to make your working /action committee: Yes/ No within how many days? Are you suffering with any kind of disease: Yes/ No : _________________________________ : _________________________________ : _________________________________ : _________________________________ : _________________________________ : _________________________________ : _________________________________ : _________________________________ : _________________________________
: _________________________________ : _________________________________
: _________________________________
Are you ready to submit your written report every month: Yes/ No
: _________________________________
Signature (member only)
NOTE: KINDLY SEND THE FOLLOWING DOCUMENTS ALONG WITH THE APPLICATION 1. 4 NOS. PASSPORT SIZE PHOTO ADDRESS PROOF & PHOTO ID PROOF DD/CHEQUE FOR YOUR DOCUMENT PREPRATION IF ADVOCATE : BAR COUNCIL ID CARD RC COPY FOR THE CAR STICKER
2.
3. 4. 5.
6. Self Address Envelope with complete address with pin code

7.
National Council of News and Broadcasting

To, CHAIRMAN /EDITOR IN CHIEF CENTRAL SELECTION COMMITTEE MEMBERSHIP FORM (Fill the form with Capital Letter only) Member Name Fathers Name Date Of Birth Mobile : ________________ : ________________ : ________________ :________________
Landline :________________
I am declaring that I am joining the organization with my own acceptance and consent and not been forced by anyone and want to help the organization to serve the society with dignity, will not do any illegal activity which against the Indian law and society Please provide three references ( One from Govt. Sector) :
1. Name_________________Mobile__________Relationship____________email ID______________ 2. Name_________________Mobile__________Relationship____________email ID______________ 3. Name________________ Mobile__________Relationship____________email ID______________
Signature Member
_________________ Date ___________________
Official Use Only

National Legal Council

(A LEGAL UNIT OF ALL INDIA COUNCIL OF HUMAN RIGHTS, LIBERTIES & SOCIAL JUSTICE)
To, CHAIRMAN CENTRAL SELECTION COMMITTEE MEMBERSHIP FORM (Fill the form with Capital Letter only) Member Name Fathers Name Date Of Birth Mobile : ________________ : ________________ : ________________ :________________ Landline :________________
I am declaring that I am joining the organization with my own acceptance and consent and not been forced by anyone and want to help the organization to serve the society with dignity, will not do any illegal activity which against the Indian law and society Please provide three references ( One from Govt. Sector) :
1. Name_________________Mobile__________Relationship____________email ID______________ 2. Name_________________Mobile__________Relationship____________email ID______________ 3. Name________________ Mobile__________Relationship____________email ID______________
Signature Member
_________________ Date ___________________
Official Use Only


OATHS/ACCEPTANCE/DECLARATION (ONLY MEMBER)

Common form for AICHLS/NCNB/NLC
TO, CHAIRMAN CENTRAL SELECTION COMMITTEE

Dear Sir, I_______________________S/o_________________ Solemnly take oaths/accepted and declared that Residence of______________________________________
I am joining and subscribing AICHLS/NCNB/NLC with my own consent without any force or pressure from anybody from AICHLS/NCNB/NLC or from outsider I will serve the AICHLS/NCNB/NLC , People & Society absolutely on the basis as volunteers for which I will not claim any kind of payments or service charges or any kind of expenses. I will be fully dedicated to Human rights, Liberties and social Justice for masses and not for individual or my benefits I will not misuse the name of AICHLS/NCNB/NLC for my own sake and benefits Strictly, if found liable to face action by CENTRAL DISCIPLINE ACTION COMMITTEE OR NATIONAL PRESIDENT, which is final. I will Pay all my Membership fee , joining fee , Contribution, subscription in time and with my own acceptance , consent and agreement, I will obey the code of conduct of the AICHLS/NCNB/NLC in all mode and all time I will not be involved with any kind of illegal activities , functions, seminars , rally which against the law of India and Constitution ,society That AICHLS/NCNB/NLC will not be held responsible at all for my involvement with any kind of illegal activities , business , court cases which is against the law of India , Constitution and society I have never been involved /indulged with any kind of human rights violation and never been convicted by the court for the same. My membership can be withdrawn immediately, if found guilty with anything violated the law of India Constitution or society or the code of conduct of the society and accepted the final decision of the CENTRAL DISCIPLINE ACTION COMMITTEE OR NATIONAL PRESIDENT. I also authorize AICHLS/NCNB/NLC to put my name on the website i.e. www.humanrightscouncil.in I will attend all meetings of the AICHLS/NCNB/NLC time to time in my respective jurisdiction I will the serve the AICHLS/NCNB/NLC with whatever responsibility and accountability given to me I understand that my Membership is non-transferable and once the payment is made, it is non-refundable. Any kind of misbehaviour or misconduct may result in rejection of membership of AICHLS/NCNB/NLC. All disputes subject to jurisdiction of Delhi only. That AICHLS/NCNB/NLC will not be responsible for any misuse of Identity Card , press card , legal council card issued to me during the course of my Membership with AICHLS/NCNB/NLC , National Council of News and Broadcasting , National Legal Council. That On expiry of validity, I will submit my Identity Cards to the National Administration Office. After expiry, I will renew regular membership within 30 days. In case of change of address, I will inform the same to the National Administration Office . That in case of loss of the identity Card, I will inform the National Administration Office in writing along with the F.I.R. immediately. That being a active member of AICHLS/NCNB/NLC will contact my respective Area Units / State Units / National Administration Office once in a month. That I am ready to face Strict action , if found guilty floating the rules and regulations of AICHLS/NCNB/NLC, and are also punishable under the Press & Societies Act. That If I am holding the press ID card , I will report all the incidents immediately to the NCNB and voluntarily That If I am holding the Legal ID card , I will serve the people absolutely free and voluntarily and provide free legal advise time to time. If I have any doubt, question or problem, will contact AICHLS/NCNB/NLC National Administration Office with the All rights reserved to AICHLS/NCNB/NLC. DECLARATION: I hereby solemnly affirm and declare that The particulars mentioned by me here in above are true & correct to the best of my knowledge and belief and nothing has been concealed or suppressed thereof. If anything found incorrect at any stage, my membership may be terminated. 2. I honestly declare that I will not involve myself directly or indirectly in any act which will be against the prestige of our Nation, Society, Journalism and AICHLS/NCNB/NLC as well. 3. I will abide by the rules and regulations and Byelaws of the AICHLS/NCNB/NLC in force from time to time. Signature (Member only) Name________________ Date_________________ Location_______________Mobile ___________________________ Signature (Reference only) Name________________ Date_________________ Location_______________Mobile ___________________________

PERSONAL DETAIL FOR MAKING ID CARD

Common form for AICHLS/NCNB/NLC
KINDLY FILL THE DETAILS WITH CAPITAL LETTER, WE WILL NOT RESPONSIBLE FOR ANY SPELLING MISTAKE THEIR AFTER I am giving my particulars to make my Identity Card / Certificate / Car Sticker etc. as details are given below , I am fully responsible for any spelling mistake if found in this slip and I have submitted my full documents charges ( Voucher Details attached) ONLY CAPITAL LETTER TO BE FILLED Member Name Fathers Name Spouse Name Date Of Birth Mobile Landline : _________________________________________________________________ : _________________________________________________________________ : _________________________________________________________________ : _________________________________________________________________ : _________________________________________________________________ : _________________________________________________________________
Email ID (Capital Letter Only) : _________________________________________________________________ Blood Group Emergency Contact No : : _________________________________________________________________ : _________________________________________________________________
Complete Residence Address Permanent with pin code ___________________________________________________________________________________________________________________
Complete Residence Address Present with pin code
____________________________________________________________________________________________________________________
Write your Complete Address with pin code
((For Delivery The Documents))
____________________________________________________________________________________________________________________ Signature (member only)
Official Use Only

The National Selection Committee has examined your all details and hereby Approve / Disapprove your Application for the membership. Membership No. Designation granted : ___________________________ : ___________________________
Signature (Chairman Central Selection Committee)

Expense Slip
(Treasury dept) Documents Charges
TO: CHAIRMAN CENTRAL TREASURY COMMITTEE Dear Sir I AM SUBMITTING MY DOCUMENTARY CHARGES TO PREPARE MY DOCUMENTS AS PER THE DETAILS
NAME_______________
Particulars
S/O MR._____________
Amounts
Rs. 975/Each
MOBILE_____________
DD/Cheque No. / Dated Drawn Bank Name Location
DOCUMENTS CHARGES FOR ALL INDIA COUNCIL OF HUMAN RIGHTS, LIBERTIES & SOCIAL JUSTICE Documents Are Like: National Identity Card, Certificate, Car Sticker, Postal Charges Etc. COMPULSORY FOR EVERY MEMBER DOCUMENTS CHARGES FOR PRESS CARD issued by the National Council of News & Broadcasting Documents Are Like: All India PRESS Card, Certificate, Car Sticker, Postal Charges Etc. COMPULSORY FOR EVERY MEMBER DOCUMENTS CHARGES FOR NATIONAL LEGAL COUNCIL Documents Are Like: Legal Card, Certificate, Car Sticker, Postal Charges Etc. COMPULSORY FOR EVERY MEMBER
CONTRIBUTION SPECIAL DONATION Subscription For Office Bearer As Per Memorandum and designation and level in the AICHLS/NCNB/NLC
Rs.975/+ Rs. 2000/Each
Rs. 975/Each
KINDLY SPEAK TO US FOR PRESS CARD AT 987300 5424 All Contribution /Donations/Fees Etc. To Be By DD/PAY ORDER In The Favour of ALL INDIA COUNCIL OF HUMAN RIGHTS,LIBERTIES & SOCIAL JUSTICE payable New Delhi
Indian Bank:
Saving A/c No. : 6106 880946 payable New Delhi Online Transfer: Please email us the transit number of online transfer Branch Address: South Extension -I, New Delhi CBS Code: 00361 - IFS Code: IDIB000 S032 After Depositing Money Please mail us humanrightscouncil.org@gmail.com

Membership Form

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All India Council Of Human Rights, Liberties & Social Justice

SELECTION PROCESS TIME 7/10 DAYS

CONTACT / POSTAL ADDRESS

All India Council Of Human Rights, Liberties & Social Justice

Official Use Only

All India Council Of Human Rights, Liberties & Social Justice

MUST ANSWER THESE QUESTION

Signature (member only)

6. Self Address Envelope with complete address with pin code

National Council of News and Broadcasting

_________________ Date ___________________

Official Use Only

National Legal Council

_________________ Date ___________________

Official Use Only

All India Council Of Human Rights, Liberties & Social Justice

OATHS/ACCEPTANCE/DECLARATION (ONLY MEMBER)

TO, CHAIRMAN CENTRAL SELECTION COMMITTEE

All India Council Of Human Rights, Liberties & Social Justice

PERSONAL DETAIL FOR MAKING ID CARD

Complete Residence Address Permanent with pin code ___________________________________________________________________________________________________________________

Complete Residence Address Present with pin code

Write your Complete Address with pin code

((For Delivery The Documents))

____________________________________________________________________________________________________________________ Signature (member only)

Official Use Only

Signature (Chairman Central Selection Committee)

All India Council Of Human Rights, Liberties & Social Justice

Rs.975/+ Rs. 2000/Each

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