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Membership Application

MEMBERSHIP ENROLMENT FORM

To,
The Chairman
RYA Cosmo
PRIDE Extension Commitee
Chennai.

Dear Sir,
I wish to become a member of RYA COSMO PRIDE, Chennai. I shall abide by the rules and regulations of the association made from time to time.

Prefer to fill out the form offline?

⬇ Download Application Form (PDF)

Applicant Details

Attach Latest Couple Photo (PDF, JPG, JPEG, max 1MB)

Name (in Capital Letters)
Father’s Name
Mother’s Name
Date of Birth
Date of Marriage
Native Place
Education
Mobile No	Alternate Mobile No
Business / Profession
Office Address
Landline No	Blood Group
E-Mail ID
Member of Any Other Association
Co-Curricular Activity: Sports Dance Drama Singing Others

Spouse Details

Spouse Name
Date of Birth
Blood Group
Native Place
Education
Mobile No	Landline No
Business / Profession
Office/Residence Address
E-Mail ID
Co-Curricular Activity: Sports Dance Drama Singing Others

Children Details

S.No	Child Name	DOB	Education	Blood Group	Hobbies	Mobile No
1
2
3

Additional Info

Why RYA Cosmo Pride?

Would you like to take a post in RYA COSMO PRIDE? Yes No

Name & Details of family members associated with any RYA Chapter?

Mailing Address
Residence Office

Reference from any member of RYA Family:

Name	Mobile No.

Document Uploads

Applicant's Passport (PDF/JPG): Spouse's Passport (PDF/JPG): Applicant's Aadhaar (PDF/JPG): Spouse's Aadhaar (PDF/JPG):

Total 5 files: Couple Photo, Applicant Passport, Spouse Passport, Applicant Aadhaar, Spouse Aadhaar. (Couple Photo was uploaded at the top).

FEES STRUCTURE
Corpus Fund: ₹10,000/-
Annual Subscription: ₹25,000/-

Note:
1. All documents to be enclosed as specified.
2. Submit the filled form to: SDJC Centre, RYA Cosmo Foundation, 380/2, Konnur High Road, Opp. Podikadai Bus Stop, Otteri, Chennai - 600 012.