Amrapali Silicon City Flat Owners Welfare Society

Registered office: 11C, Pocket B, Mayur Vihar, Phase II, Delhi-110091

MEMBERSHIP FORM Paste Legal Paste latest

Owner's color photo of
latest colour Person
To, photo here representing
The General Secretary Owner in RWA
Amrapali Silicon City Flat Owners Welfare Society

Dear Sir,
I own a flat in Amrapali Silicon City and I want to become a member of the Society. I have gone
through Memorandum and Rules and Regulations of the Society. I agree to abide by the same
including advisory(s) issued by the Society. I give my consent to receive communications in
Tower/Flat No
Owners Name (in capital)
Age
Mobile No/Phone (Res)
Email ID
Qualification
Occupation & Designation
Name of Organization
Name of Person representing
Owner & Relationship with
Owner
Current Address (Res)

Family Members Details Name Age Relationship

(Name/Age/Relationship) 1.
2.
3.
4.
5.
6.
physical mode or thru electronic means or both from the Society. I am remitting an amount of
Rs. 1000/- {as initial subscription and Admission Fee. I agree to pay monthly subscription as
may be decided by the Management Committee of the Society from time to time.

My other details are as follows:

Remittance by Cash/Cheque/DD. Cheque/DD No/NEFT_____________dated__________drawn

on_______

_____________________________________________________(name of Bank & Branch Address)

Date______________ Signature________________

Note. Remittance to be made in favour of Amrapali Silicon City Flat Owners Welfare
Society
Bank Details: Account No. 916010059899340 Axis Bank, Branch Mayur Vihar, Delhi, IFSC Code
UTIB0000296