Apply For Membership - Thakuri Samaj

THAKURI SAMAJ - MEMBERSHIP FORM

Name *

The name field is required.

Date of Birth *

The date of birth field is required.

Gender *

The gender field is required.

HKID No. *

The hkid no field is required.

Address *

The address field is required.

Telephone No. *

The phone field is required.

Email *

The email field is required.

Please submit folling documents and payment proof:

HKID copy (Front Side) *

HKID copy field is required.

Passport Size Photograph *

Passport Size Photograph field is required.

Membership payment proof receipt *

Membership payment proof receipt field is required.

I understand, Thakuri Samaj is a bona-fide social organization and agree with its cause of estabilishment and will not tolerate its members to be involved in caste creed and sex discrimination for any reason whatsoever. I will fully support and participate in all activities of the Thakuri Samaj organized by its Executive Committee and abide with the constitution of the Thakuri Samaj Limited. I hereby give my consent for my name, photograph, Hong Kong Identity Card number, address, and contact number to be used for any official purposes related to the organization.

Signature *

Please sign above using your mouse or touch.

It is hereby certified that the above information are correct and membership is approved accordingly.

You must agree before submitting.

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