Join Rotary | Rotary Club of Mangalore South

Personal Details

Rotary Info

Declaration

Personal Details

Full Name *

Spouse Name

Date of Birth

Marital Status

Gender

Mobile Number *

Email Address

Occupation / Profession

Company / Business Name

Anniversary Date

Residential Address

Office Address

Rotary Information

Classification / Field of Service

Areas of Interest in Service Activities

Community Service Youth Service Vocational Service International Service Club Service

Other Areas of Interest

Have you previously been associated with Rotary?

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Proposer Details

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Membership No.

Declaration

I hereby apply for membership in Rotary Club of Mangalore South. I agree to abide by the constitution and bylaws of the club and Rotary International. I shall actively participate in club meetings, service activities, and uphold the ideals of Rotary.

I accept and agree to the declaration above. *

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