The Petarian Association

Text Box: Need two passport size photos, One pasted & One clipped

 

PN Fleet Club, Iqbal Shaheed Road, Karachi, PAKISTAN

Tel: (021) 778-7134 & (92 301) 822 0105

Click here to download in Word Format

                              Membership Form

Life Membership Fee is Rs.2,500/- in Pakistan & US$ 50 for Overseas Petarians. Ordinary Member Fee: Rs.1000/- in Pakistan & US$ 20 for Overseas Petarians per annum. Kindly mail this form to the Association’s Office along with a crossed cheque/draft in favor of “The Petarian Association”

 

Name (First) ……………………………(Middle) ……………………………(Last) …………………………….

Kit no. ……………… House ……………..

Year entered CCP ………… Year left CCP …………

Company / Organization …………………………………………………………….

Address at Work ……………………………………………………………………

……………………………………………………………………………………….

Home Address ………………………………………………………………………

……………………………………………………………………………………….

Tel. Nos: Home …………………………………………………………………….

Tel. Nos: Work …………………………………………………………………….

Mobile Tel. No. …………………………………………………………………….

Fax ……………………………………..

Email ……………………………………………………..

Date of Birth ………………….. Date of Marriage …………………..

Wife's Name ……………………………….. No. of Children …………….

Blood Group ......................

Petarians in Family (Kit# only) ...................................

 

Signature ………………………………… Date: ………………..

DON’T WRITE BELOW THIS LINE

(TO BE FILLED AT THE HQs)

Introduced by……………………..… Proposed by……………………… Seconded by……………………

Amount ….…… received through Cheque / Cash / PO / DD No………………….. Dated…….…………...

Signature of the: President / V. President / General Secretary / Treasurer……………………………….…..

 

Designed By © Muhammad Khurram Shahzad khan Ghauri. Kit no. 9443 Jinnah Email:khurram9443@yahoo.com