The Textile Association Delhi, India

APPLICATION FROM FOR LIFE / PARTRON / LIFE TO PATRON MEMBERSHIP

Please enroll me as an individual member of The Textile Association (India). I being aware of the aims and the objectives of the Association, hereby agree to comply with the clauses laid down in its constitution

LIFE

PATRON

LIFE TO PATRON

MEMBERSHIP NO.

Photo* :

Profile Image Required
Image only. (JPG, PNG)
File should be less than 1 MB.
Photo Should be in Square Ration. (128x128 px) or (1:1 size Recommended)

1. Name

Firstname *

Middlename

Lastname

2. Date Of Birth *

Sex

Age*

Blood Group

Martial Status

3. Permanent Address:

Telephone

FAX

Mobile

Present Address is Same as Parmanent Address:

4. Present Address:

Telephone

FAX

Mobile

5. Organization Address:

Telephone

FAX

Mobile

6. Telephone:

(Off.)

(Res.)

(Fax.)

Mobile

7. Area of Interest:

Spinning Weaving Processing Knitting Garment Research Fashion Designer Others :

8. Qualification:

Degree / Diploma	University / Institute	Year of Passing

9. Presently Working / Designation :

10. Introduced by:

Name	Membership No.	Signature

1. I have read the Rules & Regulations and agree to abide by them.

2. I have completed my Life Membership for Five years & my existing No. is

Signature of Applicant *

Signature is required
Image only. (JPG, PNG)
File should be less than 1 MB.
Photo Should be in Horizontal Ratio. (320x148 px) or (3:2 size Recommended)

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