FORM - X

Application form for membership of

To,

The President/Secretary

NRWA Office, Nirvana Country Sector 50, Gurugram, 122018

Serial No: 000001
Subject : Application for admission as a Member of the Society.

Dear Sir,
I wish to apply for admission as a member of . My brief particular(s) are as under:

Attach Your Photo
Applicant 1 :
Address of the House for which I am applying for membership
NRWA Office, Nirvana Country Sector 50, Gurugram, 122018
I am enclosing herewith the following Documents:
Document Type Document Name Upload
Copy of Identity Proof
Copy of Address Proof
Copy of DOB Proof
Copy of Ownership Proof
Identity Proof

Address Proof

DOB Proof

Ownership Proof

  One time membership fees of Rs.500 dated
(Cheque/DD in favor of Nirvana RWA Maintenance Account OR online transfer to ICICI Bank a/c number 184301000716, IFSC ICIC0001843 )
I certify that:
  • I unconditionally subscribe to the aims & objects of the society and contribute towards attainment of the same.
  • I will abide by the Bye Laws of the Society, as applicable and amended from time to time.
  • I have not been convicted of an offence involving moral turpitude involving imprisonment.
I request you to kindly admit me as a   of the Society.

Thanking you

Yours faithfully

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Please attach a picture/ image of your ink signatures to submit the form online.
(Signature of the Applicant)

Date: 21st Nov, 2024

Place: Gurgoan
Recommendations of a regular member of the Society (if Provided in the byelaws):
I recommend admission of S/o , aged years, R/o , as of the society.
Recommender's Address
Recommender's Name

Date: 21st Nov, 2024

Place: Gurgoan
Decision of the Governing Body :
_______________________ S/o _________________________ aged ______ years, R/o _____________________________, is admitted as _____________ of the Society w.e.f _________________ under membership no. ___________ vide resolution bearing no. _______________ in the meeting of Governing Body held on ____________ .
He may be issued an identity card of the Society & his name may entered in the Register of Members.

Dated: __________________

Place: Gurgoan