MCAI Membership Form

Download as doc, pdf, or txt
Download as doc, pdf, or txt
You are on page 1of 1

MUSIC COMPOSERS’ ASSOCIATION OF INDIA

(REGISTERED UNDER TRADE UNION ACT - 1926)

REGN. NO. BY-II-7543

MEMBERSHIP FORM

NAME: ……………………………………………………………………………………………………………………………………………..

SURNAME: ……………………………………………………………………………………………………………………………………….

DATE OF BIRTH: ……………………………………………………………………………………………………………………………….

AGE: …………………………………………………………………

ADDRESS: ………………………………………………………………………………………………………………………………………..

………………………………………………………………………………………………………………………………………………………..

………………………………………………………………………………………………………………………………………………………..

PHONE: ……………………………………………………………………………………………………………………………………………

EMAIL ID: …………………………………………………………………………………………………………………………………………

CATEGORY (Please tick your primary medium):

Film ( ) Television ( ) Advertising ( ) Non-Film ( )

BLOODGROUP: ………………………………………………………………………………………………………………………………….

PLATFORM: MAC ( ) PC ( )

HOST SOFTWARE(S): …………………………………………………………………………………………………………………………

I wish to enlist myself as a member of the Association and agree to subscribe to the aims and objects of
the Association.

Date ………………………… ……………………………………………..

(Signature)

…………………………………………………………………………………………………………………………………………………………

For Office Use Only

RECOMMENDED BY:

NAME:

SIGNATURE:

ACCEPTED BY:

You might also like