NUST SADDLE CLUB MEMBERSHIP FORM 1x1

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MEMBER INFORMATION

Student/Faculty Student Date of 2001-07-15

/Support Staff: Birth:
Name: Inam Ullah S/O ATTA ULLAH KHAN
CNIC No: 3210304130743
Present Residential Zakriya Hostel Room 301 Nust
Address:

Perm Residential Address: PO Retra Tehseel Taunsa DGK

School / Institution / Dte: SCME

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Category of Student: UG Semester: Second Semester

Tel No: Residence: HOSTELLITE Mobile No: 03495530702

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CERTIFICATE
I, hereby give an undertaking that my son, Inam Ullah(00000285055), is permitted to
attend riding classes in NUST Saddle Club and I take full responsibilities for any accident or fall
that may occur during the course of riding. I myself and my child will adhere to the rules and
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instructions of the club and abide by the general instructions issued.

Dated: ____________ _____________________________

(Signature of Parents / Guardians)
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CERTIFICATE SUBMISSION OF FEE

I, hereby acknowledge that monthly fee of Rs. 700/- is deposited under the Account Name NUST
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Sports (22927901792101) at HBL Bank Branch NUST, H12 vide bank deposit slip
No.____________________________. If you want to avail Riding gear the fee is 250/-
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Approved / Not Approved

Dated: ____________ _____________________________

(Signature of DD Sports)