Active Hams Amateur Radio Society Membership Application

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AARS-KL MEMBERSHIP APPLICATION FORM

Membership shall be open to right person with a genuine and not solely commercial interest in amateur radio,scientific research or any relevant field.The period of Membership shall be from 1st Jan to 31st Dec inclusive any one year

PERSONAL DETAILS Call Sign & Licence Number Name Father’s Name Date of Birth Occupation Complete address

Email Mobile Number IDENTIFICATION DETAILS Please use any valid ID card with photo issued by Govt of India Identification Document Document Number MEMBERSHIP TYPE Honorary and Researcher type off application should be filled along with the required documents , referral letters and recommendation letters from two regular members Date of Application Membership Type

Honorary | Regular | Researcher | Corporate | Junior

Recent Photograph 2 passport size photo *Please sign on the photographs and below

NOMINATORS Each nominator must be a Regular or Associate Member of AARS-KL. Nominations through a chapter should be presented to any officer of the selected chapter. Nominator Second Nominator For Office use Only : official seal and signature of President must required for the membership approval. Membership ID Verified By Approved By Signature of President and Official Seal


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