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    Open Membership Form - 1.0

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    vijayindia87
    This document contains instructions and an application form for open membership in the Indian Youth Congress (IYC). [1] Applicants must attach photocopies of address proof, photo ID, and age proof as well as pay a membership fee. [2] The form requires applicants to provide personal details like name, date of birth, address, references, and declaration of eligibility. [3] Incomplete forms may be rejected even if a barcode has been issued.

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    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd

    Open Membership Form - 1.0

    Uploaded by

    vijayindia87
    17K views1 page
    This document contains instructions and an application form for open membership in the Indian Youth Congress (IYC). [1] Applicants must attach photocopies of address proof, photo ID, and age proof as well as pay a membership fee. [2] The form requires applicants to provide personal details like name, date of birth, address, references, and declaration of eligibility. [3] Incomplete forms may be rejected even if a barcode has been issued.

    Original Title

    Open Membership Form_1.0

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    This document contains instructions and an application form for open membership in the Indian Youth Congress (IYC). [1] Applicants must attach photocopies of address proof, photo ID, and age proof as well as pay a membership fee. [2] The form requires applicants to provide personal details like name, date of birth, address, references, and declaration of eligibility. [3] Incomplete forms may be rejected even if a barcode has been issued.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    17K views1 page

    Open Membership Form - 1.0

    Uploaded by

    vijayindia87
    This document contains instructions and an application form for open membership in the Indian Youth Congress (IYC). [1] Applicants must attach photocopies of address proof, photo ID, and age proof as well as pay a membership fee. [2] The form requires applicants to provide personal details like name, date of birth, address, references, and declaration of eligibility. [3] Incomplete forms may be rejected even if a barcode has been issued.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 1

    DO NOT CHANGE SIZE WHILE COPYING OR PRINTING THIS FORM

    Open Membership Form

    iycOMem251010 1.0

    Instructions 1) Attach photocopy of approved Address proof, Photo ID proof & Age proof 2) Remit Membership fee of Rs 15 or Rs 5 for Women and SC/ST (attach photocopy of caste certificate). 3) The completeness of this form is the SOLE RESPONSIBILITY of the member. IYC will reject this form if any of the mandatory fields (Name, Date of Birth, Sex, Fathers Name, Panchayat Name, Assembly Name or Photograph) are missing, even if a barcode has been issued.

    PHOTO
    Paste recent original photograph. Do not staple.

    Barcode

    State : Assembly :
    First Name

    Lok Sabha : Panchayat/ Ward :


    Last Name

    Booth No.

    Full Name :
    Strike out whichever is not applicable

    Father/Husbands Name : Date of birth


    D D M

    Sex

    Blood gp.

    Profession

    Present Address :

    City/District : Category : General


    Referrers Name : Referrers Barcode No. or Referrers ID
    Referrers ID can be generated on the IYC website at www.iyc.in/refererid

    Pincode :
    SC ST OBC Minority

    Mobile : Landline :
    * Separate the STD code and number with a dash

    Email :

    Declaration : I wish to apply for the membership of the Indian Youth Congress. I accept the constitution of the Indian Youth Congress and I declare that - The information given by me in this form and enclosures is true. - I am under 35 years of age and a Citizen of India. - I am not a member of any other political Party. - I have never been convicted of any criminal offences by any court

    Signature / Thumb impression :


    * Ensure signature / thumb impression is within the box

    Date :
    Assembly Code Panchayat Sl. No.

    Received Rs. : Authorised Signatory :

    Last 3 months Landline/Mobile Bill Rental Agreement Last 3 months Water/Electricity Bill Drivers License EPIC Voter ID Passport National Identity Card Property Tax Receipt NREGA Job Card Current Month Bank Statement LPG Receipt Ration Card Govt. Fishermen ID Panchayat Secretary/Taluk Certificate

    Tick Address Proof provided

    For Office Use

    Tick Age Proof provided


    Birth Certificate Passport PAN Card Drivers License State Board Exam Certificate or School Leaving Certificate EPIC Voter ID NREGA Job Card

    Sworn Affidavit in front or Executive


    Magistrate or First Class Magistrate or Notary Public Certificate granted by medical practitioner not below rank Civil Surgeon Panchayat Secretary/Taluk Certificate

    Keep this receipt carefully and make a note of your Barcode number for future reference

    Receipt

    INDIAN YOUTH CONGRESS


    #5 Raisina Road, New Delhi - 110001.

    Barcode
    Ensure that barcode sticker is pasted on the receipt.

    Full Name :
    Received Rs.________ towards subscription

    Assembly Code

    *To be filled by Authorised Official

    Panchayat Sl. No.

    Authorised Signatory :
    The membership fee is non-refundable under any circumstance

    Acceptance of this form does not guarantee enrollment into the IYC

    Incomplete forms even with bar codes axed will be rejected

    The IYC is Transforming !


    Find out more at www.iyc.in
    Open Membership Internal Elections Code of Conduct Professional Training Nationwide Programs Performance Management

    Reach us: Web : www.iyc.in Email : support@iyc.in Helpdesk : 1860-425-4357 (Monday to Saturday, 10AM to 5PM)

    approximately 6-8 weeks from the date of submission of form on www.iyc.in

    You can check your membership status

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