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PERSONAL INFORMATION
Name : ...............................................................
Address : ...........................................................
Phone : (R) .........................................................
Phone : (B) .........................................................
Cell: ....................................................................
E-mail: ................................................................
Spouse Name: ..................................................
Designation : .....................................................
Home Club : ......................................................
Club No. :...........................................................
Membership Number :.....................................
Date of Join :......................................................
District :...............................................................
IN CASE OF EMERGENCY
Name :.................................................................
Address :.............................................................
Tel :......................................................................
Cell :....................................................................
Blood Group: ....................................................
Serve with Love 1
