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NKKS Online Membership Form
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Membership Request Form
Membership Request Form
Type :
NEW
RE-REGISTRATION
** NOTE: Admin can change the type of registration after processing your submitted information **
Name :
Father's / Guardian's Name :
Gender :
MALE
FEMALE
 
OTHERS
Date Of Birth :
Present Address :
Permanent Address :
Email :
Phone No (Contact) :
Phone No (Residential) :
Marital Status :
Select
Single
Married
Divorced
Widow
Educational Qualification (Passed Upto) :
Present Professional Status :
Student
Worker
Employee
Self-Employed
Retired
Housewife
Businessman
Others
Educational/Professional Organization Name :
Japanese Language Study (Year) :
Japanese Language Study (Institute/Place) :
Extra-Curricular Activities :
Special Areas of Interest :
Hobbies :
Introducer's Name / Came to Know from :
Photo of Yours (Limit 500KB) :
Why do you want to join NKKS? :
I hereby declare that : The information furnished by me in this application form is true to the best of my knowledge.
YES
NO
I shall abide by and shall be decently dressed while visiting the office of Nihongo Kaiwa Kyookai Society and attending the venues where programs of Nihongo Kaiwa Kyookai Society will be held.
YES
NO
I shall pay the subscription fees within 30 days from the date when it will be due.
YES
NO
I shall attend at least one General Body meeting and at least three other meeting of programs of Nihongo Kaiwa Kyookai Society
YES
NO
I agree to abide by the Rules and Regulations of the Nihongo Kaiwa Kyookai Society and any modifications, additions and deletion thereof
YES
NO
The decisions of the Executive committee regarding my membership will be binding on me
YES
NO
TERMS & CONDITIONS :
1. Approval of membership will be declared after scrutiny.
2. For new member, membership fee is Rs. 350/- (Rs. 350/- for 1st year, then Rs.300/- per year). Bank account will be provided along with the membership approval letter.
3. For re-register member, membership fee is Rs. 1200/- (Rs. 1200/- for 1st year, then Rs.300/- per year). Bank account will be provided along with the membership approval letter.
4. Memership cycle is from 1st April to 31st March. But if someone joins in between January to March, then his/her 1st year Membership cycle will be from his/her registration date to next year 31st March.
5. Membership will be cancelled if membership fees will not be paid 3 years successively.
I accept all the terms & conditions of Nihongo Kaiwa Kyookai Society
I AGREE
Submit