Account Sheet For Membership of

Chotiwala's Ayurveda Surgical & Yoga Research Centre

(A unit of Chotiwala Ayurveda & Yoga Samiti, 492, C. P. Mission Compound, Near Preeti Provisional Store, Gwaliar Road, Jhansi - 284003)

Receipt No.
Membership Code
Serial No.

(To be filled by the Office)
Details of Donation
1.
Name of Donor And His/Her Full Address
2.
Phone No.Residence with S.T.D. code
-
3.
Phone No. Office with S.T.D. code
-
4.
Mobile No.
5.
Email
6.
Category (Tick whichever is applicable)
Founder Member
Patron Member
Life Member
Dignified Member
Respected Member
General Member
Other
7.
Details of Donation (Tick whichever is applicable)
DD CQ Cash Other
8.
Amount
9.
DD/CQ
10.
 Date
11.
Name of Issuing Bank & Branch
12.
Name of Drawee Bank & Branch
13.
Receipt No.
14.
Date
Details of donation, if made earlier (Tick whichever is applicable)
DD Cheque Cash Other
1.
Amount
2.
DD/Cheque No.
3.
Date
4.
Name of Issuing Branch
5.
Name of Drawee Branch
6.
 Receipt No.
7.
Date
Signature of Accountant Signature of Applicant
Note : Drafts and Cheques should be in favour of Chotiwala Ayurveda & Yoga Samiti.
Rules and regulations for membership of Chotiwala's Ayurveda Surgical & Yoga Research Centre (A unit of Chotiwala Ayurveda & Yoga Samiti , 492, C. P. Mission Compound, Near Preeti Provisional Store, Gwaliar Road, Jhansi - 284003) alongwith its objectives.
1.All Membership are subject to the rules and regulations of the Chotiwala Ayurveda & Yoga Samiti, in existence.
2.Only individual membership will be accepted and membership is nontransferable. The Chotiwala Ayurveda & Yoga Samiti will take any decision on the application of the natural heir of a member for the transfer of membership to him/ her on the demise of the concerned member
3.The membership does not entitle or create any right to the trusteeship of the Chotiwala Ayurveda & Yoga Samiti.
4. The membership is restricted to individuals (persons/ institutions) who undertake and agree to follow, observe and put into action the main objectives of the Chotiwala Ayurveda & Yoga Samiti which seek to make life (a) Spiritually rich (b) Physically healthy and (c) Mentally sound by use of ancient medical science of Ayurved and Ashtang Yog as well as generating patriotism among countrymen. The Chotiwala Ayurveda & Yoga Samiti also has objectives in spreading ancient knowledge of Ayurveda and Yoga in the country & abroad in order to alleviate the life-style & thinking to shape this planet truly new order of peace and tranquility. In the event of membership by an institution, only a person, according to the laws of that particular institution, or a person nominated by that particular Institution may attain benefits of membership of Chotiwala's Ayurveda Surgical & Yoga Research Centre.
5. Donation for membership of Chotiwala's Ayurveda Surgical & Yoga Research Centre is entirely non-refundable.
6. Membership shall automatically result in termination in the event of indulging in any activity which violates the rules and regulations of the Chotiwala Ayurveda & Yoga Samiti