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oHENNAI 600034.

APPLICATION FOR ADMISSION


Frcm

The Honerary Secretary Energy& Fuel User'sAssociationof India 4, B-1,J.P Tower, Nungambakkam Road, 7/2 High Chennai 600 034.

Dear Sir,
oox) l/We requested that l/We may be admittedas a (Pleasetick in appropriate

IndividualMember Student (please whichever applicable) falls the category tick is Ourorganisation under following / Manufacturer/Energy FuelConsumer/Academic and Institution / Consultancy Services lndividual. .. .) O u ra n n u atlu r no v e ri n R s . . . . . . . . . . . . . . . . . .(.R. u.p . e s . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .o n.l.y . . . . . . . . . . . .e l/Wesendherewith D.D./ Cheque Rs.......................... subscription the a for being for year togetherwith the EntranceFee of Rs.l00/l/We agree to abide by all the rules and regulations the Association per its of as constitution, forceon thedateon whichour membership accepted anychanges in is and and amendments alterations that may be made in the constitution / bylaws thereafter. Yoursfaithfu v.

Life Member

Member

Signature
Namein Capital Letters

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