Membership Form (Students Package)
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1
2PAKISTAN SPORTS BOARD
KASHMIR HIGHWAY, NEAR AABPARA, ISLAMABAD
MEMBERSHIP FORM (STUDENTS PACKAGE)
2
photographs
1. Name _______________________________________________
(1x1 size) are
2. Father’s/Husband Name: ________________________________
required
one paste here
3. Male/Female: _________4. Date of birth: __________________
with gum and
one attach with
5. NIC No: _____________________________________________
this
form
for
Card
6. Class: __________________ 7. Roll No. ___________
8. Institution's Name & Address: ___________________________________
_____________________________________________________________________
9. Residential Address: ____________________________________________________
_____________________________________________________________________
10. Phone No: Office:________________ Residence: ______________Mob.___________
Comprehensive Membership, Badminton, Basketball, Jogging, Tennis, & Squash
Date:____________
Signature of the Applicant
Date: -----------------------
Signature head of the institution
with stamp
FOR OFFICE USE ONLY
_______________
Director General/
Authorized Officer
1.
Membership No: __________has been allotted with credited of fee in the Cash Book on
______________. Membership Card is issued on_______________.
2.
Membership approved/Not approved.
Date: ___________
--------------------------
Authorized Official
_____________________
Date: ____________
Signature of the Applicant/
Guardian
Note:- Please read the terms and conditions and fee structure given at backside.
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