World Neem Organisation

WNO Individual Membership

Fees Structure:

Entry fees- Rs 5000/- or 100 US$

Annual fees- Rs 2500/- or 50 US $

Total- Rs 7500/- or 150 US $

Name *

Photo *

Date of Birth*

Gender*

Male Female

Qualification*

Status *

Employed Self employed Retired

Organisation *

Designation *

Address(Residential) *

Country*

State *

City*

Pin Code *

Telephone

Mobile *

Email *

Information Same as Above

Address (Offical)*

Country *

State *

City *

Pin Code *

Telephone

Mobile *

Email *

Brif Information *

I agree to abide by the rules of the WNO.

PRIVACY DISCLAIMER – The collection of these details is primarily so that we can register you as a member of WNO. This information will be stored in the WNO database and may be used for future marketing of WIC’s Events. If you do not wish your details to be made available, please tick this box [ ]. If you do not tick the box, then WNO will consider that the individuals completing this form consent to their personal details being used in the manner indicated.

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