APPLICATION FOR LIFE MEMBERSHIP Name Surname Father's Name E-Mail Mobile Number Date of Birth Qualification Gothram Uncle's Gothram Spouse Name Spouse Occupation Spouse Date of Birth Date of Marriage Names of Children (1) Names of Children (2) Introduced by Residential Address Office Address Profession Blood Group - Self Blood Group - Spouse Form Submission Date Photo Certificates(CA/ CMA/ CS/ BE/ LLB/ DOCTOR/ MBA/ MCA) Payment Receipt (Kindly scan QR code shown below and upload the screenshot along with transaction reference number) I request that I may be enrolled as a Life Member of VYSPRO-INDIA. Details of my Personal & family particulars are given in application . I will abide by the rules and regulations of VYSPRO-INDIA as they exist from time to time. I am sending here with Rs.1000/- in cash / by cheque/online payment in favour of VYSPRO-INDIA. I will intimate the association either by updating myself in the login profile or in writing about the change of my address, email id , mobile number or any other communication details if any. I agree to the Terms & Conditions Send Please Scan the QR Code for Membership Payment.
