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    Red Cross Application

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    gantasri8
    The document is an application form for life membership in the Indian Red Cross Society. It requests the applicant's personal details such as name, address, contact information, date of birth, blood group, occupation and educational qualifications. It also asks the applicant to specify the Red Cross activities they are interested in volunteering for by providing the activity code and name. Finally, it estimates how many hours per week the applicant can volunteer and commits to abiding by the rules of the Red Cross Society.

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    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd

    Red Cross Application

    Uploaded by

    gantasri8
    267 views2 pages
    The document is an application form for life membership in the Indian Red Cross Society. It requests the applicant's personal details such as name, address, contact information, date of birth, blood group, occupation and educational qualifications. It also asks the applicant to specify the Red Cross activities they are interested in volunteering for by providing the activity code and name. Finally, it estimates how many hours per week the applicant can volunteer and commits to abiding by the rules of the Red Cross Society.

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    The document is an application form for life membership in the Indian Red Cross Society. It requests the applicant's personal details such as name, address, contact information, date of birth, blood group, occupation and educational qualifications. It also asks the applicant to specify the Red Cross activities they are interested in volunteering for by providing the activity code and name. Finally, it estimates how many hours per week the applicant can volunteer and commits to abiding by the rules of the Red Cross Society.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    267 views2 pages

    Red Cross Application

    Uploaded by

    gantasri8
    The document is an application form for life membership in the Indian Red Cross Society. It requests the applicant's personal details such as name, address, contact information, date of birth, blood group, occupation and educational qualifications. It also asks the applicant to specify the Red Cross activities they are interested in volunteering for by providing the activity code and name. Finally, it estimates how many hours per week the applicant can volunteer and commits to abiding by the rules of the Red Cross Society.

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    Attribution Non-Commercial (BY-NC)
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    Application for Life Membership

    (Please read the information overleaf. Tick whichever is applicable and


    strike off where not applicable. Fill all columns)
    To
    The State Secretary
    Indian Red Cross Society,
    A.P.State Branch,
    # 3-6-212,ST.No.15,Himayathnagar,
    Hyderabad-500029. A.P.
    Tel.No.040 23221748, Telefax23261246

    Sir/Madam,

    I request you to enroll me as Patron/Vice Patron/Life Member Life Associate/Institutional


    Member/Annual Member of Indian Red Cross Society, I am enclosing /paying Rs.______through Cash or
    Cheque/DD.No______________ Dt.______ payble at bank__________.

    I am enclosing two copies of pass port size photographs. Following are my particulars.

    Full Name : __________________________________________________________________________


    Father /Husbands Name : _______________________________________________________________
    House No. : ______________________________, St.No./Area : __________________________________
    Locality : ______________________________, Town : _______________________________________
    District : ________________________________, Pin code : ____________________________________
    Tel.Nos. (STD Code) : __________ (Residence /Others)_________________________________________
    Fax No : _________________________________, E-mail : ______________________________________
    Date of Birth : ____________________________, Age : ________________________________________
    Blood Group : ____________________________, Occupation: ___________________________________
    Educational Qualification : _________________________________________________________

    I am interested and wish to work as a volunteer and associate myself in the following activities of
    Red Cross (Please see the list of activities overleaf and write the code no, and activity you are interested.

    Code No.___________ Activity ______________ Code No.___________ Activity ______________


    Code No.___________ Activity ______________ Code No.___________ Activity ______________

    I can spare_________ hours a week (approximately) for Red Cross activities. I shall be a disciplined
    member and shall abide by rules and regulations of IRCS and I am willing to undergoing training if
    required.

    Date:_________ Signature_____________________________________
    INFORMATION ABOUT RED CROSS

    Inspired by the narration of experience of war of Solferino by Henry Dunant the Red Cross
    Organization was formed in the year 1864.The first Geneva Convention has adopted Red Cross and its
    emblem for the amelioration of conditions of wounded in the battle field. The nucleus of Indian Red Cross
    Society which is a part of the International movement was formed in the year 1920, though as act of
    parliament(Act XV of 1920).

    The Andhra Pradesh State Branch as come into existence in the year 1956.H.E.The Governor of
    Andhra Pradesh is its President and Lady Governor is Chairperson

    Red Cross provides assistance to victims of War, Natural Calamities, Diseasters, Epidemics without
    discrimination of race, religion, creed, nationality, politicial opinions. In addition to its relief activities in
    emergencies, it promotes and undertakes activities of development and prevention of ill health, disease and
    preparedness of disasters.

    Any person can help this international humanitarian effort by donation in cash or kind, and by
    enrolling as a member and serving voluntarily in any of its activities.

    Type of Membership Rates of Subscription


    1 Patron Rs.20,000/-
    2 Vice Patron Rs.10,000/-
    3 Life Member Rs.500/-
    4 Life Associate Rs.250/-
    5 Institutional Member Rs.5,000/- per annum
    6 Annual Member Rs.100/- per annum
    7 Annual Associate Rs.50/- per annum (*Not eligible for vote)
    Persons who have been members of above 1-6 Categories for more than six months are eligible
    to vote, and for more than a year or eligible to contest.
    (To become members of Junior Red Cross and Youth Red Cross, please consult nearest Red Cross Branch.)
    DONATIONS TO RED CROSS ARE COVERED FOR TAX EXEMPTIONS UNDER 80 G
    ACTIVITIES OF RED CROSS
    Code Activity Code Activity
    1 IEC(Information,Education, Communicatin) 2 Membership promotion
    3 Fund Raising 4 Office Assistance
    5 Rescue 6 Relief
    7 Rehabilitation 8 Preparedness Trainer
    9 Institution Management 10 Junior Red Cross
    11 Youth Red Cross 12 Sanitation Promotion
    13 Health Camps 14 Blood donation Camp
    15 Assistance of Senior Citizens 16 Assistance to Handicapped
    17 Personal Hygiene promotion 18 Medical Relief (Doctors, Nurses Para Medics only)
    19 Civil construction maintenance (Profession only) 20 Counselling/AIDS & Others
    21 Family planning 22 First Aid
    23 Ambulance Services 24 Transport
    25 Orphanages 26 Press Relations
    27 Skill training 28 Monitoring & Evaluation
    29 Others(specify) 30 Others(specify)
    (For information contact the State Branch Office)

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