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You may copy this form, fill it, enclose your payment and send it to
Postal Address:- CEC, Hans Bhawan Wing II, Bahadurshah Zafar Marg New Delhi-110002
Application Form for Membership
[ Life / Institutional / Annual Members ]
To,
The Secretary,
Climbers and Explorers Club [Regd]
Room no. 157,Gate no. 28-29, Jawahar Lal Nehru Stadium
New Delhi-110003 India
Phone: +91 11 4365930 Email- [email protected]
Website- http://cecclub.nav.to

Sir,
please enrol me as a Life / Institutional / Regular member of the Climbers & Explorers Club. I agree to abide by the memorandum of Association, rules & regulations of the club.

Name in Block Letters: Father's name:
Occupation: Nationality
Age: Date of Birth:
Your postal address, Phone numbers and Email:
Occupational address, Phone numbers and Email:
Training in Adventure sports,if any:
Experience in Climbing/Trekking and other adventure activities( if necessory attach sheets:
Specify, if member of any other similar club and for how long:

I am tendering a sum of Rs.50=00 as admission fee and [Rs.100 as Annual subscription ] / [Rs.1000=00 Life membership] / [Rs.500=00 Institutional membership-annual] for the year ----------- by Cash / Bank Draft / Postal Order no: --------------- Details -------------------.



Your Signature with Date

Introduced by: -------------------------- Membership no.: ------------Signature with Date------------------------

In case of minor, permission of the Parent/ Guardian:
I permit my son/doughter/ward -----------------------------------------to join the Climbers & Explorers Club,New Delhi as a member and to participate in its various activities.


Signature of Parent/Guarian with date
Name-----------------------------------