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                                     MEMBERSHIP FORM                  BACK
Category
       Silver: Rs. 1 k for 2 year, Golden: Rs. 5 k for 5 years, Platinum: Rs. 10 k for 10 years        
Name
Father's Name
Date of Birth     Gender      Blood Group
Permanent Address
State Pin/Zip code
Country Phone No.
Mobile No. E-Mail
Permanent Account Number (PAN) if any
Occupation / Designation
Number of Dependent Family Members(Blood Relation)
 Details about Dependent Family Member:;  Suffering from Any Disease
1. 
2. 
3. 
4. 
5. 
   DECLARATION:
I,  S/o, W/o, D/o    R/o  
the applicant, do hereby declare that what is stated above is true to best of my knowledge and belief and I     will not interfere in any activity of this organization without prior permission. And I will follow the Rules & Regulation of this Organization in future. 
Verified today the
Paid Membership: Rs. Cheque/DD No. Dated:  favouring "WORLD OF CHARITY"
Payable at Delhi & Bank Name: