Indus peoples party membership form

Page 1

INDUS PEOPLES PARTY Building an inclusive, prosperous and progressive society where people come first

_______________________ PLACE YOUR LATEST PHOTOGRAPH

BASIC PARTY MEMBERSHIP FORM Head Office: Indus Peoples Party, No. R 141 Sahrina Village Scheme # 33 Gulshan-e-Iqbal, Karachi, Sindh Email: induspeoplesparty@gmail.com Facebook: https://www.facebook.com/induspeoplesparty/messages/Ind

us_ Membership #/Registration #________________________ (Assigned by IPP Headquarters)

Gender: Male _____Female _____ Transgender _______ (Check one of the above)

Name_______________________________________ s/o __________________________________________________ _

National Identity Card:

_

Highest Education ________________________________Profession__________________________________________ Date of Birth____________________ Place of Birth _______________________________________________________ (Date/Month/Year) Permeant Address __________________________________________________________________________________ Union Council No. & Name______________________________________ Tehsil ________________________________ District_______________ Province _____________ Mobile # ________________ Email __________________________ Job Title & Work Address ____________________________________________________________________________ I will remain loyal to Indus Peoples Party and will abide by the discipline, By-Laws and the constitution of the party. I am not a member of any other political party in Pakistan. – Referred by ________________________________ Seconded by __________________________________________ (Active IPP Member) (Active IPP Member)

NA Constituency Number

Signature

Right Thumb impression

Email ____________________________________ Date: _________________ Facebook ___________________________________ Special Membership fee enclosed: First 1000 Members Rs.40/Year (Cash)

C PA Constituency Number (Enter numbers in blank boxes) Check the box for payment enclosed

Approved by Name/Signature/Date__________________________________________________________ (Authorized Member, CEC)


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Indus peoples party membership form by Indus Peoples Party - Issuu