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MEMBERSHIP FORM
CENTRAL BHATIA SABHA (REGD.)
Admn. Office : 5, Ist Floor, Pusa Road, New Delhi-110005, Ph. : 011-47177000-30
Website : www.centralbhatiasabha.org • E-mail : centralbhatiasabha@gmail.com
FULL NAME: *
DATE OF BIRTH (AGE): *
PROFESSION: *
CONTACT NO: *
MOBILE: *
FATHERS/HUSBAND’S NAME: *
RESIDENTIAL ADDRESS: *
OFFICE ADDRESS: *
RESIDENCE: *
EMAIL ID: *
Note:-Annual subscription for CBS membership Rs. 500/- be sent through Crossed Cheque to Central Bhatia Sabha, Delhi along with the form duly filled in by the Member at : 5, Pusa Road, 1st Floor, New Delhi-110005
OR
By remitting to saving bank A/c Annual subscription of Rs. 500 in favor of Central Bhatia Sabha (Regd.) saving account no 012000100604808, Bank Name : PUNJAB NATIONAL BANK, GURUDWARA ROAD, KAROL BAGH, NEW DELHI IFSC Code : PUNB0012000