MESBAI | Member Form

Names of three representatives to be :

Registered for attending and voting on behalf of the member at the meeting of the Association:-

Name of representative

Payment Details :

Registration Fees -

GST ( Headquarter share ) -

TOTAL :

Proposed By :

Seconded By:

Bank Details :

Enter Cheque/DD No.

Select Cheque/DD Date

Enter Bank Name

Enter Branch Name

Enter City

Enter State

FOR THE USE OF ASSOCIATION'S BRANCH OFFICE :

Recommended by the Branch Vide Executive Committee meeting held on ...........................

Subscription received vide cheque No./cash .............................................Dated ......................

CHAIRMAN OF BRANCH

FOR THE USE OF THE ASSOCIATION'S HEADQUARTERS OFFICE :

Application is in order.

May be considered for membership.

Application considered at Council Meeting held on ...............................................................

Admitted/rejected

Member enrolled at No............................in the Register of Membership.

PRESIDENT