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HL Membership Registration Form
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HL Membership Registration Form
Name
*
Nationality
*
Date of Birth
*
Residential Address (Abroad)
*
Permanent Address (India)
*
Telephone Number (Abroad)
*
Email ID
*
Whatsapp Number
*
Passport Number
*
Expiry Date
*
Member's Family Details
Spouse Name Number
*
Passport Number
*
Expiry Date
*
Member's Parents / Close relative's Details (Indian Resident):
*
Father ||
Mother ||
Close Relatives ||
Others ||
Name
*
Address
*
Contact Number
*
Email ID
*
In Case of EMERGENCY (Contact Person Details):
Name
*
Contact Number
*
Name
*
Contact Number
*
Service Requirement
*
Signature of the Member
*
I agree to the defined
Terms, Conditions and Policies
.