SOBHA LAKE VIEW CLUB Receipt No……………
95/2, Green Glen Layout, Bellandur Village, Varthur Hobli, Date:………………….
Photo Sarjapur Outer Ring Road, Bangalore - 560 037.
ASSOCIATE MEMEBERSHIP APPLICATION FORM
(All entries are to be made in block letters or typewritten)
1 Name of the Applicant
2 A. Date of Birth: B: Sex: M [ ] F [ ]
C. Marital Status D: Nationality
3 Residential Address
4 Telephone No. : Office
: Fax No.:
: Email Address
5 Educational Qualification
6 Name of the Organisation & Address
Designation / Occupation
7 Annual Income
8 Spouse : Name
: Date of Birth
: Qualification & Occupation
Name Sex Relationship Age Date of Birth Occupation
Games the candidate or his family Cards/Tennis/Badminton/Table Tennis/Billiards/Swimming/Gym/ Squash/ Health
participate in. Club
Name of the other clubs which the
11 applicant is already a member with
Any other information the candidate might
wish the committee to consider (in brief).
Sponsor : To the best of our knowledge the above particulars are correct.
The Candidate is personally known to us and is in our opinion fit and suitable person to be selected as member of the club.
Candidate Known For
Name Proposer Signature Date
Eligibility of Proposer *Any one
*Member of Sobha Lake View Club
*Member of any Sobha Complex Association
*Secretary / Member of the Association where the applicant is presently residing
*HR Dept of the applicant employer
Eligibility of Proposer
Note:DD/Pay Order should be drawn payable at Bangalore, A/c " SOBHA LAKE VIEW CLUB".
No Cash will be accepted
The acceptance/rejection of the proposal for membership will be notified in the notice board.
Date of Submission:
Receipt No: & Date:
ENCLOSURES REQUIRED ALONG WITH THE APPLICATION
1 Proof of age & Residential Address.
2 DD / Pay order for Rs.2,50,000/- (Rupees Two Lakh Fifty Thousand Only) + 10.30% i.e. Rs 25,750/- for Sobha Apts
3 DD / Pay order for Rs.3,00,000/- (Rupees Three Lakh Only) + 10.30% i.e. Rs 30,900/- for Other Complex
4 2 copies of passport size coloured photographs
1 If membership is accepted , the monthly subscription, library fee etc., applicable will be paid.
Rs 2.5 lakh /Rs 3.0 lakh membership fee is not refundable nor transferrable.
It is further agreed that if our application for membership is not accepted: the membership fee paid by us will be
refunded without any interest within 15 days of the non acceptance of membership.
2 I have read the rules and regulations of Sobha Lake View Club and am prepared to abide by
the said rules in force from time to time.
3 I undertake to inform the Club any change in address/ martial status / Dependents immediately.
I understand that the club is not responsible for not including the same by me.
Bangalore Signature of Applicant
FOR OFFICE USE ONLY
1 Details of entrance fee received amount Rs.____________________________ paid DD/Pay Order
No._____________________ dated _____________________ drawn on Bank _________________
2 Scrutinized membership:
3 If rejected: Reason
Chairman Selection Committee
Club Secretary President Sobha Lake View Club