MEMBERSHIP // APPLICATION

Membership Application Form

"An opportunity to serve society, awaken your soul, and experience the joy of bringing smiles to others through meaningful social contribution."

For Office Use Only

Serial No.

Passport Size Photograph

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3.5 × 4.5 cm

Membership Category

Please select your membership category. Admission fees vary by category.

Personal Information

Full Name *

Date of Birth *

Gender *

Father's / Mother's Name *

PAN / Voter ID / Aadhaar / Passport No. *

Occupation *

Mobile Number *

Email Address *

Residential Address

Address Line 1 *

Address Line 2

City *

State *

PIN Code *

Professional Information

Profession / Occupation *

Organization / Institution

Educational Qualification *

Profile & Achievements

Please briefly describe your background, experience, and what you bring to NBRF.

Areas of Interest

Social Work Experience

Awards & Recognitions

Skills and Expertise

Achievements

Contribution to NBRF

How would you like to contribute to NBRF's objectives and activities? *

Admission Fee Schedule

Membership Category	Admission Fee
Executive Member	₹2,000
Corporate Member	₹5,000
Honorary Member	Nil

* Fees may be revised from time to time by the Governing Body.

Terms, Conditions & Membership Rules

1The applicant must be at least 18 years of age.
2The applicant should have no criminal background.
3Members should be physically and mentally fit to participate in organizational activities.
4Members may be required to travel at their own expense for organizational work.
5Membership may be suspended or terminated by the Chairman or Governing Board in cases of misconduct, indiscipline, or actions contrary to the objectives of NBRF.
6Members shall abide by the decisions, policies, and directives of the Chairman and Governing Board.
7Members shall actively contribute towards achieving the objectives of the Foundation.
8Members are expected to attend General Body Meetings and other official meetings whenever required.
9Meetings shall be conducted under the supervision of the Chairman, Governing Board, or designated Committee Heads.
10Membership fees must be submitted along with the application form.
11In case of rejection of membership, the admission fee shall be refunded within seven working days.

Declaration

I hereby declare that the information provided in this application form is true and correct to the best of my knowledge and belief. I have carefully read and understood the Terms, Conditions, and Membership Rules of Nav Bihar Renaissance Foundation (NBRF). I agree to abide by them and actively work towards the objectives and interests of the Foundation. I understand that my membership may be suspended or terminated if my conduct, activities, or actions are found detrimental to the interests, reputation, or objectives of the organization.

Date *

Place *

By submitting this application, I voluntarily seek membership in NBRF and undertake to cooperate with the Governing Board, committees, and office bearers in carrying out the activities and mission of the Foundation. *

Fields marked with * are mandatory