MEMBERSHIP FORM
Under Article 5 (A) (a) (i) of the
PARTY Contitution
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I Wish to be enrolled as a
Member/renew by
PHOTO Membership of the UNITED
DEMOCRATIC PARTY. I accept
Article 1 of the PARTY
Contitution which is as follows:-
“The object of UNITED DEMOCRATIC PARTY is the well-being &
advancement of the people of India & the establishm-
ent in the
India, by peaceful & constitional means, of a Social State based on
Parliament Democracy in which there is equality of opportuni-
ty & of
Political, Economical & Social rights & which aims at world peace &
fellowship.”
I am not a
member of any other Political Party, Com-
munal or
other, which has a separate membership, Contitution & Prog-
ramme. I
herewith deposit Rs. 300.00/- as membership subscription for the
years……………….to…………….
NAME…………………………………………………………………………………………………
(a) SEX :MALE/FEMALE
(b)Belongs to : SC/ST/OBC/Minority
(c)Father’s or Husband’s Name
:………………………...................................
Permanent Address :……………………………...............................................
…………………………………………………………………………………………………………..
Permanent Place of Residence or Place of Work………………………………..
…………………………………………………………………………………………………………..
Age :……………………………………Occupation……………………………………………
Mobile No :…………………………………… Tel. No……………………………………….
E-mail if any……………………………………………………………………………………….
Booth Committee/Unit………………………………… S.No……………………………
NAME…………………………………………………………………………………………………
Name of the Block……………………………………………………………………………..
………………………………………….. ………………………………………
Singnature of the Enroller Signature of
thumb impre-
Ssion of the Applicant
DATE :……………………………………
NOTE : Address should be given in full which should be
traceable.
Note by the Secretary of the……………………………………………District Party
Committee. The above application of……………………………………
has been received in the office with Rs. 300.00/- as
Membership fee the years …………………………to…………………… which has been deposited by the
enroller Shri/ Shrimati…………………………………………………………
.
The serial number in the District Committee Register
is……………………
DATE :…………………………..
……………………………………
Signature of the Secre-
Tary District Committee
FORM No………..
Receipt to be given to be Applicant : Receipt No…………… .
Received Form Shri/Shrimati……………………………………………………………………………
The fee of Rs. 300.00/- for the years
………………………..to…………………… .
………………………………………. ……………………………………….
Siganature of the Enroller Signature of the
Secretary
District Committee .
DATE :……………………………..
DECLARATION
I declare that-
(i)I am of the age of 18 years & over.
(ii) I believe in anintegarated society
without distinction of religion or
Caste .
(iii)
I neither believe in nor practice Social discrimination in the any
Shape or form & undertake to
work for its removal.
(iv)
I undertake a perform minimum tasks including in the Contituti-
on as may be prescribed by the Working Committee
.
(v)
I do not own any property in excess of ceiling Laws.
(vi)
I subscribe to & Work for promotion the principles of the Secu-
Larism, Socialism & Democracy. I
shall not, directly or indirectly,
openly or otherwise policies &
programme of the party, except
through Party forums.
(vii)
I shall subscribe to the periodicals approved by Party National
Committee.
(viii)
I shall abide by the conditions laid down & rules framed under
The Constitution of the UNITED
DEMOCRATIC PARTY.
(IX)
I abstain from alcoholic drinks & intoxicant drags.
………………………………………………
Signature or thumb impression
DATE
:……………………………………. Of the
Applicant
OBJECT
“ The object of UNITED DEMOCRATIC PARTY
is the well-being & advancement of the people of India & the
establishment in India, by peaceful & Contitutional means, of a Socialist
State based on Parliame-
nt Democracy
in which there in equality of opportunity & of Political, Economic &
Social rights & which aims at World peace & fellow.”
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