KOKAN COUNCIL FOUNDATION (KCF)
CIN# U80904MH2012NPL235237

Membership Application Form

I the undersigned wish to apply for the membership of Kokan Council Foundation with effect from the date mentioned below. Upon admission, I agree to abide by the rules and regulations of the foundation.

Personal Information:

Name:
Contact Residence: Office: Mobile:
Email:
Present Address:
Permanent Address In India: Village: Taluka: District: Pincode:
Please Mention If You Are A Member Of Another Organization:

Additional Information:

Marital Status: Blood Group:
Date Of Birth: Profession:
Gender:

In order to support the Welfare and Development causes undertaken by KCF, I wish to contribute my annual membership fees as mentioned below:

INR 1000/- More than INR 1000/- Please mention the figure here:

In addition to your financial support, please tick below the area of your expertise in which you would like to support KCF voluntarily.

Medical: IT: Law: Social: Religious: Journalism: Education: Others:
POINT OF CONTACTS
India : +91 8097381503 / +919820078600 Qatar +974 55207063 / +974 55865432
Saudi Arabia : +966 563131200 / +966 543522155/ +966 502814283 / +966504840255 UAE +971 502881617
Email: contact@kokancouncil.org Website: www.kokancouncil.org
Group: https://www.facebook.com/groups/globalMKC