Membership registration Name Mother’s Name Birth Day Sex Male Female Blood Group Address City E-mail Telephone (Res): Qualification Is the candidate a member of, or previously been a member of any other non-profit organization? Yes No Has the candidate been involved with any social activities in the past? Yes No Preferences of the candidate for the Kind of Work he/she would like to get involved with SDRN Innovation Organization Passport/Driver’s License/ No Criminal Record Certificate Two passport size photographs with signature on the back of second photo Place Date Signature of. The Candidate Address Phone Profession Signature Date Become a member
