..::SARASWATI INTERNATIONAL EDUCATION AND WELFARE FOUNDATION ::..

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Membership Form

Student Member

Personal Information

Title

Nationality *

First Name *

Last Name *

Date of Birth *

Gender *

Qualification *

Are You a Medical Doctor ?

Speciality

Do You Practice at a Hospital ?

Private/Government

Name of the Hospital

Contact Information For Correspondence

Address

City

State

Postal Code

Telephone

Addl Telephone

Mobile

Email ID

Other Information

Passport Number

Place of Issue

Issue Date

Expiry Date

Academic Details Of 10 + 2

Board

Year Of Passing

Institution

10 + 2 Academic Performance

Subject	Marks
Subject	Total	Obtained	Percentage
Physics
Chemistry
Biology
Total (PCB)
English

Academic Details of Study At China (Pease Skip If You Are Not A Student At China/Philippines

College/University/in
China/ Philippines

City

State

Semester

Academic Details Of Under Graduation (Please skip If You Are Not Undertaken It).
Please Fill In The Relevant Sections If Currently Undergoing.

Degree

University

Institution

Year Of Passing

Aggregate Percentage

Please Tell Us How You Came To Know SIEWF ?

Rules And Regulations

a) The Membership of the foundation will be open to any person who has completed 18 years of age, who is not of
unsound mind, irrespective of caste, religion, creed, race or class, but subject to what is in the rules provided.
b) A person male or female desirous of being a member of the foundation shall apply to Secretary in the form of
application prescribed by the Governing Council. The applicant will register application and the same will be
attested by at least one Member of the Governing Council.
c) The application for Membership shall mention the class of membership in which he / she desires to be member.
The application will be accompanied by cheque for full amount of subscription for that class.
d) The Governing Council will have absolute discretion to accept or reject any application for membership without
assigning any reason. If any application is rejected, the amount paid by him / her along with the application will
be refunded forthwith.
e) The person where application for membership accepted will be declared to be a member from the date of
application lodged in the office of the foundation and money payable along with it are paid and such persons
will be bound by the rules and regulations and may be amended from time to time.
f) The memberships of the Foundation are of 8 categories namely, Student Members, Guardian Member,
Educational Service provider members, College / University Membership, Teacher Members, Student Alumni
Members, Ordinary Persons, Co-opted Members.
g) The subscription payable by each class will be prescribed by the Governing Council from time to time.
h) The Governing Council will also fix subscription fee for ordinary member from time to time. The annual
subscription can be paid lump sum in advance for two years.
i) The Governing Council will have powers to admit, without any application, any person as honorary member if he
is holding high position in the society and it will be thereby fit in the interest of the foundation to be associated
with him. He will not be liable to pay any subscription but will have all the rights of any other member.
j) If the member subscription remains in arrears for more than one year and is not paid within 2 months from date
of issue of a notice in writing regarding payment such defaulting members shall forthwith cease to be a member
of the foundation.
k) Any member who ceases to be a member of the foundation may be readmitted on payment of all arrears at the
discretion of the Governing Council.
l) Any member desirous of resigning from the foundation shall give notice in writing to this effect at least 1 month
before close of official quarter and the resignation shall operate from commencement of the next quarter.
m) In matters relating to memberships / members the decision of the governing council/ general body shall be final
and binding.
SIEWF RESERVES THE SOLE RIGHT FOR ADMISSION / REJECTION OF THE CANDIDATE WITHOUT ASSIGNING ANY REASON WHATSOEVER.

DECLARATION AND SIGNATURE

I hereby declare that the information provided by me is correct and accurate to the best of my knowledge and that I have readthe Terms & Conditions stated in the previous page in this booklet. I agree to abide by these Terms & Conditions.

I have no objection to Saraswati International Education and Welfare Foundation (SIEWF) or its affiliates using my Photographand credentials for any PR activities which includes but is not limited to promotions and/or advertisements .

I also do not hold Saraswati International Education and Welfare Foundation (SIEWF) or its affiliates responsible directly or indirectly in anyways for my academic performance at the college admission being sought for and/or my behavior in and/or outside the college/campus.

Saraswati International Education and Welfare Foundation (SIEWF) is not responsible for any disciplinary action undertaken bythe college authorities including expulsion from the college, the reason for which may encompass nonpayment of fees , poor academic performance or behavior by the student found to be objectionable or for non conformance with the rules and
regulations of the college / institution but may not be limited to the above.

I volunteer, and also nominate my guardian listed above, to become a member of Saraswati International Education andWelfare Foundation (SIEWF) and agree to abide by the rules and regulations of the foundation.

I Agree

Signature

Place

Date

Payment Details

DD/Cheque No :

Dated

Drawn On

Branch

Amount

Amount IN Words


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