Membership Form

                                                                                                          Regn no- 1428/2010-11

PRAGATI SARV KALYAN SAMITI, UP

 (Regd under Societies Regn Act 21 of 1860)

                                                Membership Form

Gender (required) MaleFemaleOther

Marital Status (required)

Date of Birth (required)

Ph.No/Mob.No (required)

Membership Fees. 1100/- INR
NGO Bank Details –Account Name- Pragati Sarv Kalyan Samiti, Account No- 323202000000016,
Bank Name- Indian Overseas Bank, Branch name- Banthara Branch(3232), Khasra No 947,
Sikandarpur-227101 Distt. Lucknow
I Also Invite Pragati Sarv Kalyan Samiti to organise following exents/ideas in my region to
develop Community
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Terms and Conditions

I never be involved in any illegal/unlawful activities inside the countries or elsewhere As a member of Pragati Sarv Kalyan Samiti, I undertake to liable to do only development and cultural issues that are adjacent to my region. Pragati Sarv Kalyan Samiti has right to Cancel/modify/update my membership anytime anywhere,
if found guilty or irregularities.

 DatePlace –                                                                                                                                                 Signature

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All Donations Are exempted u/s 80G Of Income Tax Act 1961 No.- URN-179/2036/2016-17
H.O 183/3, Pul Kumharan, Ward Mashakganj, Po-Aminabad, Lucknow,UP. -226018
Email- pragatilucknow1@gmail.com Website- www.pragatisarvkalyan.org