NISARGAMITRA PANVEL MEMBERSHIP FORM

Membership form for FY 2023-24

Trekking, Hiking, Nature Education & Conservation

Registration No. 63/1994 & F 1842 (Raigad)

Anand Nagar, Panvel Dist.- Raigad Maharashtra 410206

Name *

First Name

Middle Name

Last Name

Gender *

Male

Female

Other

Mobile Number *

Enter Mobile Number without any country code

E-mail *

example@example.com

Address

Address Line 1 *

Address Line 2 *

City *

State *

Pin Code *

Birth Date *

Day

Month

Year

Blood Group *

Occupation *

Emergency Contact 1 *

Enter Mobile Number without any country code

Emergency Contact 2

Enter Mobile Number without any country code

Hobbies, Experience, Skills *

Are you member of any other organization?

If Yes, Please mention names

Reference

Membership Rules

1. Membership is available to anyone 10 years of age or older.

2. I will help to maintain natural and environmental balance.

3. I will reduce the use of plastic.

4. I will not smoke or drink during an organizational program such as meeting, hiking or any other outdoor activity.

5. I will not misbehave during an organizational program.

6. I will strictly follow all the instructions of the group head.

7. I will personally attend all the events of the organization.

8. I understand that I will not have any voting rights in any organizational meeting or decision.

9. I will agree with the decision of organization about membership acceptance or rejection.

I will not hold "Nisarga Mitra, Panvel" responsible for the any accident that took place during the activities of organization.

I have read, understood, and accepted the rules for membership.

I agree to pay INR 50 as Yearly Membership Fee.

Payment Details, Membership Fee : INR 50 *

UPI : nisargamitrapanvel@ybl

Please attach payment screenshot

Once you submit your application, we will contact you shortly to complete your membership application. Thank you!

Thank You!

Your submission has been received. We are reviewing your registration and payment details. Your membership will be confimrd by 15th May 2023 on email subject to payment credit confirmation from bank.

The membership will be Valid till 31st March 2024.