LIFE MEMBERSHIP FORM
OASIS (Regd. NGO)
Organization of Aware Saviours In Society
(Telephone: 2600 6989 / 98204 03344)
PLEASE FILL UP THE FOLLOWING DETAILS IN BLOCK LETTERS

Name: _________________________________________
Date of Birth: ___________ Tel & Fax: _______________
Email Address: __________________________________
Mailing Address:
______________________________________________
Name of School / College:
___________________________________ Std: ________
Name, qualification & profession of Father:
_________________________________
_____________________________________________________________________
Name, qualification & profession of Mother:
________________________________
_____________________________________________________________________
Name of Brother / Sister (Mention standard & School):
________________________
_____________________________________________________________________
Hobbies / Talents:
_____________________________________________________
_____________________________________________________________________
How did you come to know about OASIS?: Newspaper /
Friends / Any Other
________________________________________________________________

Introduced By: __________________ Date of Joining
OASIS: __________________

I have read all the privileges and conditions and I
agree to abide by them.


Signature of child: ______________________ Signature
of parent: ______________
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FOR OFFICE USE
MEMBERSHIP AMT RECD: ________________
KIT GIVEN: _______________
SESSION ATTENDED: _______
DATE OF ATTENDANCE: ________________
SPECIFIC OBSERVATIONS:
________________________________________
Membership Number:
______________________________________________

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