Application form for Madhurima membership

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Name:

Age and Date of birth:

Address:

a) Residence:

b) Official:

Marital status: 

Family members and details of their interest in music:

Whether any member has won prizes and represented any organization before:

Signature:

Date:

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The membership dues are: Joining fee: Rs.1,000/-  and Monthly fee: Rs.100/-
In addition members will have to pay for the nominal expenditure towards dinner provided during the monthly meetings.