Membership Form

We/I agree to abide by the Constitution and the Rules and Regulations of the Society.

We/I enclose a sum of Rs.__ in full payment of our/my entrance fees and subscription fees for the first year.

Chapter
Each Chapter will provide the platform for JAR membership in the respective region

Name (BLOCK LETTERS)

NATIONALITY

DATE OF BIRTH (YYYY-MM-DD)

ACADEMIC QUALIFICATIONS

PROFESSIONAL QUALIFICATIONS (PR/MASS COMM/JOURNALISM/ADV.)

COMPANY NAME

DESIGNATION IN COMPANY

NUMBER OF YEARS EXPERIENCE

WORK RESPONSIBILITIES

COMPANY ADDRESS

TEL NO./MOBILE/FAX NO.

E-MAIL

RESIDENTIAL ADDRESS

MEMBERSHIP IN OTHER PROFESSIONAL ORGANISATIONS

TOTAL NUMBER OF YEARS EXPERIENCE IN PUBLIC RELATIONS

ACTIVITIES WITH DETAILS OF FUNCTIONS PERFORMED

Cheque No

Amount

Bank

Date (YYYY-MM-DD)

PROPOSED BY

SECONDED BY

Recommended in the Category of :

LIFE/PROFESSIONAL/ASSOCIATE/CORPORATE/STUDENT MEMBER
Recommended by the Chapter : Signature __________________

Date __________________

APPROVED/NOTE APPROVED

MEMBERSHIP CATEGORY : ____________________

MEMBERSHIP NUMBER : ____________________

Approved by the National President Signature : ____________________

Date : ____________________

Download Membership Application Form