CKB KARUNYA PALLIATIVE CARE SOCIETY MEMBERSHIP APPLICATION FORM

Please fill-up this form to join as Member of CK BHASKARAN KARUNYA PAIN & PALLIATIVE CARE SOCIETY. If you want to register on-line, you must deposit the Membership amount by directly or through bank with the account number attached to this form. Normal membership Fee is ₹500 for Ordinary membership and ₹ 5000 for Life Membership. The executive committee can relax any of the conditions for admitting a person into the society. Please contact "The Secretary, C.K. BHASKARAN KARUNYA PAIN & PALLIATIVE CARE SOCIETY, Reg, No, ALP/TC/500/2014, Kallappuram, Muhamma.P.O, Alappuzha-688525" for more information.
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    Declaration

    I hereby declare that I will obey all the rules and regulations of this Society and I wish to get a membership.
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