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Bank Details: Punjab National Bank, Ashiana Branch, IFSC: PUNB0414000 Account No: 4140000100005968

I am interested to take life time membership of the Chayanika Organization for me and my family. I have read the activity Calander of Chyanika, as decided by the Executive Committee Members in the Meeting held on 06.08.2023

I hereby agreed to pay a sum of Rs.10000/- (Rs. Ten Thousand Only) towards Non-refundable onetime life membership fee of the Organization.

SIGNATURE

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