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Membership Form
Instructions 1) Attach photocopy of approved Address proof and Age proof. Either Address or Age proof must have the applicants photograph on it. 2) Remit Membership fee of Rs 15 or Rs 5 for Women, SC/ST and BPL card holders (attach photocopy of caste certificate or BPL card as applicable). 3) The completeness of this form is the SOLE RESPONSIBILITY of the member. IYC will reject this form if any of the mandatory fields (Name, Date of Birth, Sex, Fathers Name, Booth No., Assembly Name or Photograph) are blank, even if a barcoded receipt has been issued.
PHOTO
Paste recent original photograph. Do not staple.
Barcode
State : Assembly :
First Name
Booth No.
Full Name :
Strike out whichever is not applicable
Aadhaar No
Present Address :
Pincode :
Female
Male
SC
ST
OBC
Minority
@ Profession
Declaration : I wish to apply for the membership of the Indian Youth Congress. I accept the constitution of the Indian Youth Congress and I declare that - The information given by me in this form and enclosures is true. - I am under 35 years of age and a Citizen of India. - I am not a member of any other political Party. - I have never been convicted of any criminal offences by any court
Date :
Assembly Code Booth No.
Passport Ration Card Drivers License EPIC Voter ID National Identity Card Aadhaar Enrollment Letter
Birth Certificate Passport PAN Card Drivers License State Board Exam Certificate or School Leaving Certificate Ration Card EPIC Voter ID Aadhaar Enrollment Letter
Keep this receipt carefully and make a note of your Barcode number for future reference
Receipt
Barcode
Ensure that barcode sticker is pasted on the receipt.
Full Name :
Received Rs.________ towards subscription
Assembly Code
Booth No.
LRO Signature :
Acceptance of this form does not guarantee enrollment into the IYC Incomplete forms even with bar codes axed will be rejected The membership fee is non-refundable under any circumstance By lling in your mobile no, you consent to receiving IYC SMS updates. You can easily unsubscribe from these at any time.
Reach us: Web : www.iyc.in Email : support@iyc.in Helpdesk : 1860-425-4357 (Monday to Saturday, 10AM to 5PM)
approximately 6-8 weeks after the last date for membership in your state online at elections.iyc.in