To
The General Secretary,
Burdwan Renaissance Township Citizens’ Welfare Association (B.R.T.C.W.A.)
Dear Sir,
I believe that ideals of Burdwan Renaissance Township Citizens’ Welfare Association (B.R.T.C.W.A.) can only promote the interest of citizens of Renaissance Township in particular and improve the conditions of the township in general.
I have paid the requisite membership for Rs. 200.00 and apply for membership of Burdwan Renaissance Township Citizens’ Welfare Association (B.R.T.C.W.A.) and agrred to pay Rs. 200.00 P.A. as subscription. (To pay the amount pl. contact Secretary)
I would request you to enroll my name in the member of Burdwan Renaissance Township Citizens’ Welfare Association (B.R.T.C.W.A.).
Name:
Father's Name:
Occupation:
No. of Members in family (Adult):
No. of Members in family (Child):
Present Address:
Renaissana's Address:
E-mail ID:
Mobile Number:
Phone Number:
Blood Group:
Age:
Amount of maintenance deposit:
