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MEMBERSHIP APPLICATION FORM

Yes, I would like to be a Member of the "Adopt a cow or cows programs"

(You would like to member more than one cow. The amount for one cow is Rs. 100,000/-)

No. of cow wants to adopt:

Name:

Date:

Address:

Town/city:

Pin:

State:

Telephone:

and hand set:

Fax:

Occupation:

E Mail:

Amount of Rs.:

Bank account details- Please make cheque / draft/phone pay, payable to:

Name of Bhagwan Prasad Sutradhar (Founder of ISSCOP Indian Society for Cow Protection)

Name of Bank: Canara bank

Bank account No: 3598101002550, IFSC Code: CNRB0003598

Account holder name: Bhagwan Prasad Sutradhar, Bank - Canara bank, Jaisalmer (Rajasthan), 345001.

Signature of member:

Initial of representative of ISSCOP:

Please note: Your membership, as “Adopt a cow programs” will start up after two months from your deposits.