( Kindly print the form & present it personally to your relevant branch duly filled in. Bring along 2 photographs )
 APPLICATION FORM
BOMBAY Y.M.C.A
APPLICATION FOR ASSOCIATE MEMBERSHIP

JUNIOR   |   STUDENT   |   ACTIVITY   |   METROPOLITAN
NAME (SURNAME) FIRST: __________________________________________________________________________
AGE________DATE OF BIRTH__________________RELIGION/DENOMINATION:______________________________
QUALIFICATION/PROFESSION:_______________________________________________________Married/Unmarried
SPECIAL INTERESTS____________________________________________________________________
PERMANENT HOME ADDRESS:_____________________________________________________________
LOCAL ADDRESS:______________________________________________________________________
___________________________________________________________________________________
ADDRESS OFFICE/SCHOOL/COLLEGE:_______________________________________________________
___________________________________________________________________________________
TEL. NO. OFFICE______________________RESIDENCE______________________ Mobile______________________
Email
Receipt No.:___________________________________Date: _____________________________________________
Amount Recd. :________________________________________________________________________
Membership No.: ___________________________Valid Upto: ___________________________________
I subscribe to the objects and principles of the Association and hereby apply to be admitted as Junior/Student/Activity/Metropolitan Member of your Association and agree to observe and abide by the Rules and Regulations, Bye-laws and Resolutions and/or from time to time the Association and Board of Directors or any Branch Committee or other Committees of the Association.
I declare that the information given above is true to the best of my knowledge and belief. I also understand that this application and membership fee are received subject to the approval of the Board of Directors/Authorised Persons.
_________________________________
Name and Signature of member
introducing the Applicant
_________________________________
Signature of Applicant
_________________________________
Signature of Parent
(in case of minor)
Date_________________Branch________________________Signature of Secretary___________________________