Club / Group - Format 2
Communication details for office use

 Reference no :

Received on :

Processed on :

Due date :
Name :

 

e-mail :
URL : www.myclubin.com/.............

 Address :

 

Pin :

 Tel. : (O)
Tel. : (O)
Tel. : (R)
Tel. : (R)
Fax :
Mobile:
Which info should be displayed for communication (Tick one to be displayed): e-mail-Name-Address-Tel(O)-Tel(R)-Fax-Mobile

Please take photo copy of a this format as one is for one family
Member Name (first-second-surname) : Mr./Mrs./Miss
Name Relation Birthday
DD/MM/YY		 Anniversary
DD/MM/YY		 E-mail Occupation
  Self        
Family information :
  Spouse        
  Son/Daugh        
  Son/Daugh        
  Son/Daugh        
           
           

Authority Letter
To, Indo Info Service, situated at 1A, Bhagat Tower, Kelkar Road, Dombivli (E), India – 421201. I/We, the undersigned, on behalf of me/our firm, here by authorise you, to display the information & material, send to you by me/us, through post, courier, e-mail, on any of your web sites. I/We accept that the existence of the matter on web site is totally at my/our wish, risk & responsibility & we will not have any legal access in any circumstances like, objection to the matter by any third person, mistake in the matter displayed by you, my/our information material or records given to you are misplaced / lost at your end & what so ever of any kind. To avoid inconvenience to the viewers, I/we will inform you to remove the information when not necessary.
 

______________________

(   _____________________  )

Authorised Signature & Name

 Matter should be given on a separate paper if space here is insufficient & it should be signed by the authorised person

Photos : Caption of the photo along with signature of the authorised person should appear at the back

  Indo Info Services, E-Mail: info@indoin.com, Tel.:+91 9322511319.