| Name: |
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| Father's Name |
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| Occupation |
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| Qualification |
(highest) |
Address: |
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| Country: |
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| Special Interest |
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| Category of Membership Applied |
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| Declarations
& Undertaking |
- I fully agree with the objective of Alpine Club
and commit to support its activities for the promotion
of adventure sports in Pakistan.
- I have read the Club By laws and Code of Conduct
of the Alpine Club of Pakistan and fully agree
with it and undertake to abide by them. I understand
that in case of violation of the code oof conduct
I stand to be terminated from the Club membership.
- I hereby give my consent to attend course/expedition
or other activity organized by Alpine Club of
Pakistan and give my permission for any emergency
anesthesia, operation, hospitalization or other
treatment which might become necessary during
the course of the activity.
- I shall not render / put forward any claim
what so ever, for any inconvenience, injury, physical
harm or expenditure incurred during the course
of activities organised by the Club.
- I have provided the above Information complete
and accurate to the best of my knowledge. I realize
that failure to disclose any information could
result in serious harm to myself and fellow participants.
I agree not to hold Alpine Club of Pakistan responsible
for any harm to myself due to failure in provisions
of relevant information. In case if any of the
information provided above is proved wrong then
Alpine Club of Pakistan has the right to terminate
my Club membership.
- I shall intimate the Alpine Club of Pakistan,
in writing if there is any change in the above
mentioned information/ particulars.
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