S.No. (One Posspor Size Photo fo be pasted JAIPUR CLUB LIMITED Cities: Application for Green Card Holder 113 Candidate's Name 2. Father's Name 3. Residential Address 4, Telephone No. 5. Date of Birth (attach authenticated certificate) 6. Marital Status 7. Date of Marriage 8. Spouse’s Name 9 Children’s names with Date of Birth 10. Educotional Qualifications 11. E-mail ID 12. Occupation with designation and duration 13. If in business, name of firm, address and Phone No. 14. Monthly salary or Income 15. PAN 16. Banker's Name and Address 17. Other Club’s Memberships, If Yes, Give Details 18. Whether Candidate has applied for ‘Membership in earlier years, when ? 19, Relationship, if ony with members of the ‘Managing Committee 20. Any other Information DECLARATION 1, The above Informations are true and correct to the best of my knowledge. 2. agree to abide by thé Files and conditions for membership cs laid down in the club constitution. 3. The applicant has attained the age of 24 years. (Signature of the Parent member) (Signature of the opplicant) Membership No. & Date ....