📍 58, Meurin Street, Off M G Road, Kandivili (West), Mumbai 400067
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Jodhpur Association Mumbai
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💰 Life Membership Fees Structure
Pay Cheque in Favor of
JODHPUR ASSOCIATION
, Mumbai
Admission Fees
Life Membership Fees
Total
Receipt No.
Membership No.
-
-
-
Admission Fees
Rs. 101/-
Rs. 11000/-
Rs. 11101/-
Admission Fees for Unmarried Adult Child
Rs. 101/-
Rs. 5000/-
Rs. 5101/-
📜 Life Member Admission Form
Surname
First Name
Last Name
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A-
B+
B-
O+
O-
AB+
AB-
Qualification
Marital Status
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Date of Birth
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Spouse Date of Birth
Dependent 1
Dependent 2
Child 1 Name
Child 1 Date of Birth
Child 1 image
Child 2 Name
Child 2 Date of Birth
Child 2 image
Child 3 Name
Child 3 Date of Birth
Child 3 image
Child 4 Name
Child 4 Date of Birth
Child 4 image
Residential Address
Residential Pincode
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Business Pincode
Native Place Address
Native Pincode
Primary Mobile
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Payment Rupees
Payment Date
Bank Name
Cheque No
UPI ID No
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