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    Willingdon Lounge Application Form

    Uploaded by

    Aravind Maruvakkad
    This document is a membership application form for the Merchant Navy Club. It requests information such as name, type of membership applying for, membership number, date of birth, father's name, occupation, home and office addresses, phone numbers, email, ID proof details like passport number and expiration date or Aadhaar number, and for seafarers, CDC and CoC details like number and expiration date. Instructions are provided at the bottom for submitting required documents like ID and address proof, CDC and CoC copies, passport size photos, and filling the form in capital letters in black ink. A section is also included for office use to record fee details, new membership number, and approval.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Willingdon Lounge Application Form

    Uploaded by

    Aravind Maruvakkad
    17 views1 page
    This document is a membership application form for the Merchant Navy Club. It requests information such as name, type of membership applying for, membership number, date of birth, father's name, occupation, home and office addresses, phone numbers, email, ID proof details like passport number and expiration date or Aadhaar number, and for seafarers, CDC and CoC details like number and expiration date. Instructions are provided at the bottom for submitting required documents like ID and address proof, CDC and CoC copies, passport size photos, and filling the form in capital letters in black ink. A section is also included for office use to record fee details, new membership number, and approval.

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    This document is a membership application form for the Merchant Navy Club. It requests information such as name, type of membership applying for, membership number, date of birth, father's name, occupation, home and office addresses, phone numbers, email, ID proof details like passport number and expiration date or Aadhaar number, and for seafarers, CDC and CoC details like number and expiration date. Instructions are provided at the bottom for submitting required documents like ID and address proof, CDC and CoC copies, passport size photos, and filling the form in capital letters in black ink. A section is also included for office use to record fee details, new membership number, and approval.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    17 views1 page

    Willingdon Lounge Application Form

    Uploaded by

    Aravind Maruvakkad
    This document is a membership application form for the Merchant Navy Club. It requests information such as name, type of membership applying for, membership number, date of birth, father's name, occupation, home and office addresses, phone numbers, email, ID proof details like passport number and expiration date or Aadhaar number, and for seafarers, CDC and CoC details like number and expiration date. Instructions are provided at the bottom for submitting required documents like ID and address proof, CDC and CoC copies, passport size photos, and filling the form in capital letters in black ink. A section is also included for office use to record fee details, new membership number, and approval.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    MERCHANT NAVY CLUB


    MEMBERSHIP – APPLICATION cum KYC FORM

    Name
    Type of Membership Marine Corporate Individual Individual
    Applied, Tick as
    necessary (Life) (Life) (Life) (Annual)
    Membership
    Number

    Date of Birth

    Father’s Name

    Occupation
    Home Address Office Address

    Phone : Phone :
    Mobile: Mobile:
    Email : Email :

    ID Proof details
    Passport Number: Exp. Date:
    Aadhaar Number:

    CDC & CoC Details (For Seafarers only)


    CDC: Number: Exp. Date:
    CoC : Number: Exp. Date:

    Place:
    Date : …………..……………………
    Signature

    INSTRUCTIONS:-
    1) Please enclose ID & Address proof (Passport or Aadhaar Card)
    2) Seafarers to enclose CDC & CoC copy also.(Pages with Photo & Number)
    3) 2 Latest Passport size color photo, One to affix on top.
    4) Please fill up the form in Capital Letters in black ink only.

    FOR OFFICE USE ONLY


    Details of Fee received New Approved By:
    Membership No.
    Amount: Date: Name:
    Signature:

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