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S.Vaidyanath Aiyar Award

FORM 'A'

The Secretary
S. Vaidyanath Aiyar Memorial Fund,
New Delhi

Dear Sir,

I hereby apply for admission as a member of the S. Vaidyanath Aiyar Memorial Fund. I am remitting herewith Rs. __________ towards my subscription as an Ordinary/Life Member. I have read the Rules and Regulations of the Fund and I agree to abide by them, and also by the rules that may be made hereafter. I give below the necessary particulars :


1. Full Name -------------------------------------------------------------
2. Address -------------------------------------------------------------

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3. (a) Membership No. -------------------------------------------------------------
  (b) Date of Enrolment -------------------------------------------------------------
  (c) Whether Fellow or Associate -------------------------------------------------------------

Yours faithfully,

(Signature of the Member)



Place :---------------------------

Date : ---------------------------

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