the COIN group – t.C.g. Foundation » Be a part

Membership Form as Word File

Please fill the membership form online with your MS-Word program, save the file and send it to: kingeehaz@gmail.com or service@coingroup.org

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Name:*

Date of Birth:*

Place of Birth:*

Residental Address:*

Profession:

Education Level:

Contact Number:

Email:*

Your Photo for the Membership Card

Acceptable file types: doc,docx,pdf,txt,gif,jpg,jpeg,png.
Maximum file size: 1mb.

Have you ever joined any group or an association of any kind?

Yes
No

If yes, name of the group/association:

Name of Guardian:

Contact of Guardian:

Residental Address of Guardian:

Occuption of Guardian:

Educational level of Guardian:

Why do you want to be a member of this group?

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