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I would like to enroll as a member of Club Eleganza (Avidipta I) (HIG), 401, Barakhola, Kolkata-700099.
Owner
Nature of Business :
Name of Company :
Company Address :
Applicants Position :
(Kindly Attach Business Card)
Telephone Office : ..
PAN NO. :
If property is sold, the member is expected to inform the club management in writing for withdrawal of membership
Acceptance of this form does not entitle the applicant to life time Membership of any of the club.
Granting and renewal of club membership is the sole discretion of the Management.
Membership Number: ------------------------- Dated: --------------------------------
DEPENDANT MEMBERS INFORMATION
(Please use capital letters only)
Name in full :
Surname : ...
Date of Birth : ...
School/College Present : ...
Name of the Organization : ..
(If Working)
Hobbies : ........
Name in full :
Surname : ...
Date of Birth : ...
School/College Present : ...
Name of the Organization : ..
(If Working)
Hobbies : ........
Name in full :
Surname : ...
Date of Birth : ...
School/College Present : ...
Name of the Organization : ..
(If Working)
Hobbies : ........
------------------------------------------
Signature of Applicant
DETAILS OF MEMBERSHIP CARDS
(Please use capital letters only)
Membership Number :
Corresponding Address :
Phone No. : Pan No. :
E-Mail Address : ..
Maintenance Fees of Club for two years for each flat = Rs. 12,000/- (@ Rs. 500/- per month per family of 4 members).
Usage Charge of all the club amenities for two years for each flat = Rs. 4800/- (@ Rs. 200/- per month per family of 4
members).
Registration Fees would be Rs. 100 for each card.
Loss and damage of each card would be Rs. 100/- for each card.
Service Tax @ 15% as on Date, subject to change as per Government Rules.
I have read and understood the above mentioned terms and conditions and agree to abide by the same.
Active Outstation