ORDP Chennai

A Quantum Physics Confederation

Membership Registration Form

(Note: Kindly fill in all the details with relevant information, incomplete forms will be rejected)

Name:

Gender:

Date of birth:
Age:

Address:

Mobile :

E-Mail :

Qualification:

Profession:

Marital status:

Languages spoken:

Hobbies:

Area of interest:

Why do you want to join ORDP Chennai?

Are you pursuing any research activity (personal or academic)? If yes, kindly provide the
details.

What kind of skills or talents you have? (e.g: writing, drawing, public speaking,
communication, networking, marketing, web designing, Photoshop skills, language
proficiency, photography, singing, dancing, etc)
Are you a member of any specific group, club, association or any spiritual organization,
etc? If so, please do mention:

Are you involved in any social activities? If yes, what kind of activities you’re into?

Do you know anything about quantum physics? If yes, how do you know about it?

What’s your religious view?

How do you know about ORDP Chennai? (If you’re referred by your friend, kindly
mention his/her name)

Currently ‘ORDP Chennai’ has four departments mentioned below, tell us which one you
want to join ? ______ (you can select more than one also)

A. Psychic & Paranormal

B. Ancient Indian Technologies

C. Tesla Wing  {Nikola Tesla}

D. ET (Extra-Terrestrial) Wing  {Aliens & UFOs}

Do you have any basic knowledge in the field mentioned above?

How do you describe yourself in just few lines?

Would you like to volunteer for the activities of ORDP Chennai?

Date:
Place:

Note: kindly attach your recent photograph with this form and send it to
ordp.chennai@gmail.com