|
Mandhata
NRI World
Mandhata NRI World
Membership Form
|
Name |
|
|
Falia in India |
|
|
Village in India |
|
|
Telephone No (India) |
|
|
Mobile No (India) |
|
|
E-Mail Address |
|
|
Overseas Address |
|
House No / Street / Road |
|
|
Area |
|
|
City |
|
|
County / Country |
|
|
Telephone No |
|
|
Mobile No |
|
|
Membership
Required
|
[ ]
Patron Member Rs.50000
[ ] Donor Member Rs.25000
[ ] Life Member Rs.5000 per family including unmarried children |
Please fill
and submit to Mahesh Karadia at 32 Stanley Road, Leicester, LE2 1RE, UK or Email
to
maheshkaradia@hotmail.com
|