JCI MEMBERSHIP FORM

Junior Chamber International ____________
Worldwide Federation of Young Leaders & Entrepreneurs

Snapshot
Please

APPLICATION FOR MEMBERSHIP

I Believe:
“That faith in God gives meaning and purpose to human life;
That the brotherhood of man transcends the sovereignty of nations;
That economic justice can best be won by free men through free enterprise;
That government should be of laws rather than of men;
That earth's great treasure lies in human personality;
And that service to humanity is the best work of life."

Please accept me as a part of family of JCI ____________ and I promise to bring out the best in myself and in others. I understand that I must ‘Involve to Evolve’ and will, therefore, participate in activities of the organization.

It will be my endeavor to ‘Lead by Example’ and influence future positively.

Name: _________________________________________________Blood Group: _________
Address: _____________________________________________________________________
______________________________________________________________________________
Tel: (R) _________________ (O) _________________ Cell: ___________________________
Profession: __________________________________________________________________
Birth date: ___________________ E-mail: ________________________________________
Date: __________ Signature:______________________
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R E M A R K S
Membership: Granted/Rejected [Reason: ________________________________________]
in CGB/GB Meeting held on _____________________ Sign of President: ______________

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ACKNOWLEDGMENT OF APPLICATION
Application for membership of JCI _____________________ received from: __________________________________________________________ on ___________________
alongwith Rs ________ by Cash/Demand Draft/Cheque [ _____________________Bank].
Received by __________________________________ Designation: ____________________
Signature: ____________________