Member

('DD should be made in favor of 'Cancer Aid & Research Foundation')
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DECLARATION BY THE MEMBER (CANCER AID & RESEARCH FOUNDATION)
I
s/d/w/o
R/o
and a (by profession) hereby
solemnly declare as follows:
1. I request to be a member of the Cancer Aid & Research Foundation.
2. I shall abide by the rules and regulations of the foundation, for the violation of which my membership shall be terminated.
3. I acknowledge and accept that the membership fee is non-refundable.
I have executed the declaration on this
date of
2016 after reading and understanding the contents of the declaration.