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F P EMERGENCY DISASTER RELIEF CENTER” Association, Dombivlii EMERGENCY DISASTER RELIEF CENTER” Association, Dombivli

0 E Regd. Office: KAMA, Plot No.7, Kalyan Road, Dombivli (E) 421203 Regd. Office: KAMA, Plot No.7, Kalyan Road, Dombivli (E) 421203
R R RECEIPT No.: 001 DATE: RECEIPT No.: 002 DATE:
F Member Member
O Name: Name:
S R Particulars Amount (Rs) Particulars Amount (Rs)
T A .
A T Entrance Fee … … … Entrance Fee
P I
( Annual / Life ) Membership Fee ( Annual / Life ) Membership Fee
L O
I N
N
G

_________________________________ _________________________________ ______________________

TOTAL .. TOTAL ..

For EDR Center Association, Domjbivli For EDR Center Association, Domjbivli

_______________
Treasurer Treasurer
Chairman
F P EMERGENCY DISASTER RELIEF CENTER” Association, Dombivlii EMERGENCY DISASTER RELIEF CENTER” Association, Dombivli
0 E Regd. Office: KAMA, Plot No.7, Kalyan Road, Dombivli (E) 421203 Regd. Office: KAMA, Plot No.7, Kalyan Road, Dombivli (E) 421203
R R RECEIPT No.: 001 DATE: RECEIPT No.: 002 DATE:
F Member Member
O Name: Name:
S R Particulars Amount (Rs) Particulars Amount (Rs)
T A .
A T Entrance Fee … … … Entrance Fee
P I
( Annual / Life ) Membership Fee ( Annual / Life ) Membership Fee
L O
I N
N
G

_________________________________ _________________________________ ______________________

TOTAL .. TOTAL ..

For EDR Center Association, Domjbivli For EDR Center Association, Domjbivli

_______________
Treasurer Treasurer
Chairman

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