(downloadable version)

 

BHARATIYA TEMPLE

BALBHARATI YOUTH COMMITTEE

MEMBERSHIP FORM

 

 

 

NAME: - _____________________________________

ADDRESS: - ________________________________

                       ___________________________________

AGE / DOB ______________________

 

PH NO: - _____________________________(H)____________________________(C)

E-MAIL: - ______________________________

 

 

SCHOOL ATTENDING: - ____________________________________

GRADE: - _______ YEAR OF GRADUATION: - _________

 

OTHER EXTRA CURRICULAR ACTIVITIES DURING THE YEAR

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PARENT'S NAME: - __________________________________

                                   __________________________________

CURRENT TEMPLE MEMBER: - YES___ NO____

 

WHAT ARE YOUR REASONS FOR JOINING THE TEMPLE YOUTH COMMITTEE?

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(You have to be 13-19 years of age to be a member of the Balbharati Youth Committee)