MALABAR COUNTY — 1, GYMNASIUM MEMBERSHIP FORM. | Please Paste Your ‘© FULL NAME (in capital} Recent Passport © FLATNO: Size Picture © MOBILE NUMBERS: qe for -Card Attach the following with the forms please: © Any Government ID Proof Number: (Aadhar, License etc) (also photocopy) © Flat Allotment letter/index copy from Ganesh Housing : (kindly attach) © Preferable Time of Gym Usage (please select out of the two time slots we have) © Blood Group: Self Declaration Statement: © “For the benefit of our Gymnasium facility and it’s easy maintenance, | solemnly and gladly agree to pay Rs. :100/- per month, per person as a membership fee.” © Incases of Owner present in city/state but not residing and Blood Relation residing in the flat: “My blood relation’ (Wife, Son, Daughter, Siblings, Parents) to use the gym in my absence and all norms laid shall also be applicable to them. © In-cases of Owner not residing (example: overseas) and Blood Relation residing in the flat: Mr, /Ms. reside in the given flat number and that the owner, Mr./Ms. are “My blood relation” (Wife, Son, Daughter, Siblings, Parents). All norms laid are applicable to me/us. Signature with Dats Kindly Comply & Support: 1. Please enter only with your own |-Card. One cannot carry family member's i-card to the gym. 2. Please comply to norms laid for our own interest and cooperate with our senior citizen member and the security guards helping us with the gym management.