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    Parent's Details) :

    Company Name:

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    Correspondence Address:

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    Contact Number:
    Mobile :           
    Residential:  
    Office:              

    E-Mail :

    Member of (Exact Name of Golf Club) :

    (1):
    (2):
    (3):

    Playing Golf Since (YYYY):

    Present Handicap :

    If Member of the IGU National Handicapping
    Service, please provide No.:

    Tick Appropriate BoxSubscription Charges (Includes 14% Service Tax)

    1. Life Associate Membership - Member of an IGU affiliated Club - Rs. 11,400
    2. Life Associate Membership - Not a member of an IGU affiliated Club - Rs. 17,100
    3. Life Associate Membership - Defense Personal (Serving/Retired) - Rs. 5,700
    4. Junior Associate Membership- (MembershipValid till individual attains age of 18 years) - Rs. 5,700
    5. Annual Associate Membership- For Foreign Nationals/ NRI’s - Rs. 5,700

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