SATHSANGAMA

Hindu Malayalee Organisation

Registered Under the Tamilnadu Societies Registered Act - 1975

Annual Membership Application

Membership Fee: Rs. 300/-

Name (Block Letters)

Date of Birth

Blood Group

Education Qualification

Occupation

Social/Cultural Activities

Cell Number

WhatsApp Number

Telephone No/Alt No.

E-mail

Residential Address

Native Address

Office Address

Name	Relationship	D.O.B	Blood Group	Occupation

Membership Type: ANNUAL

Amount to Pay: ₹ 300/-