L.S.W.T.I
MEMBERSHIP
APPLICATION FORM
N.I.C
NO.---------------------------------------------------------------------------------------------------------------------
PASSPORT NO
-------------------------------------------------------------------------------------------------------------
DATE OF BIRTH -------------
--------------- --------------- ----------------
----------------------------------------
Day Month
Year
City
Country
Sex
--------------------------------------- Marital
Status ------------------------------------------------------------------
Blood Group
-----------------------------------------------------------------------------------------------------------------
Nationality
-------------------------------------------
Former Nationality (if any) -------------------------------------
Email Personal
--------------------------------------------------------------------------------------------------------------
Professional or occupation
-------------------------------------------- Tel
-----------------------------------------------
Home Address ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Resident Phone no. --------------------------------- office Phone no ----------------------------
Introduction -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Relationship to Application -------------------------------------------------------------------------
I hereby declare that statement given above is true & correct.
Date -------------------------------------- time ---------------------- signature Applicant ----------------------------------------------------------------------------------------------------------------------
List any language other than your nature language, which you can speak, Read Write-----------------------------------------------------------------------------------------------------------------
Indicate Membership and office you hold or have held in any duties of organization-------------------------------------------------------------------------------------------------------------------
That the organization will not be responsible for any transaction with the holder------------------------------------------------------------------------------------------------------------------------
Registration fees per year Pakistani and Indian People only 100 Rs.
and Europe people 100 US$ , Arabic person 100 Durham
Two photographs & one National ID card copy attested with registration form
FOR OFFICE USE ONLY
Date
----------------------------------
Approved by
----------------------------- ----------------------------------
--------------------------------------------
President
Vice President
Secretary General
Head
office: - B-11/374 INDUS MEHRAN HOUSEING SOCIETY MALIR KARACHI NO.37
POSTAL CODE 75080 PAKISTAN.
Phone
no.
009221-4503493, 009221-4507269, Fax no. 009221-4503493
Email no lotustrust@hotmail.com , lotustrust@yahoo.com
Lotus Social Welfare Trust International Account No.
Habib
Bank limited
Rana
Aftab Ahmed
Saving Account No. 3931-7
Jinah Terminal Branch Karachi No.064 Pakistan.