Mumbai Gujarati Patrakar Sangh

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Your primary role as a media person* - Applicable to both full time and freelance media person

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Membership category applied for*

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Mobile 2

Permanent Address*

Communication Address*

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Blood Group*

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Name of Relative for Emergency Contact

Educational Qualification*

Languages Known with Proficiency*

Pen Name(s), if any

Current workplace - Name and address of your workplace

When did you start working as a media person*

Proof of work*

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Reference One*

Reference Two

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SELF DECLARATION*

I am herewith applying for MGPS membership by filling up all requisite details myself. I solemnly declare and confirm that all details provided here are true and correct to the best of my knowledge. I have not concealed any material facts while making this application. I am fully aware that in the event of any furnished information by me found inaccurate, wrong or misleading, MGPS may cancel my membership and or take disciplinary or legal action as found appropriate by MGPS.

While submitting this online application, I also declare that I have read, understood and agreed to MGPS’ Constitution and Byelaws made under the same. I am aware and shall agree to abide by the existing rules and regulations under the Constitution of MGPS as amended time to time. I have downloaded and read the soft copy of MGPS Constitution from the link - before applying for membership. I declare that I have fully understood all the content of this Declaration By the Applicant.

I have read, understood and agree with the Self Declaration.

Membership Form