Bodoland Tourism Development Society

Membership Form

A. PERSONAL INFORMATION

Organisation/ Tourism Society/ Company

Title

Last Name

First Name

Address

Town City

Post Code

District

State

Phone

Mobile

E-mail

Gender

Date of Birth

Nationality

B. PROFESSIONAL INFORMATION

Present Position

Qualification 1

Qualification 2

Field Experience

Other Volunteer Work

C. PAYMENT INFORMATION

Rs. 500/- (Rupees Five Hundred Only) as joining fees. (One Time)

Rs. 1000/- (Rupees One Thousand Only). A. Annual Subscription fees. Mandatory to renew every two years. Your next payment to be made on or before 07th of April as per the financial year.

D. MODE OF PAYMENT

Cash

Bank Transfer

Cheque

Online

Date of Trans.

E. OTHER INFORMATION

Willingness to contribute towards BTDS support Amount Rs.

(if any) Vide Cheque No

or Online Txn No

I am interested in being involved in the activities of BTDS as the stakeholders of BTR: Yes No

If yes If yes, kindly write few words about your motivation

I / We hereby solemnly promise to abide the rules and regulations of the Society and to observe a high ethical standard in the conduct of our business without reservation or equivocation of any kind, consistent with the regulation in force from time to time. We also note and accept that any member who shall act to the detrimental of or against the interest of the tourism, after due inquiry be either censured, suspended or excluded from the Association by the Executive Committee for which action, the Executive Committee shall not be bound to assign any reason.

I / We do hereby agree to intimate the BTDS in writing about any change in the present ownership/governing body of the our organization.

Date:
Place:

Signature

Name: