Club Charter - 41 India

New Club Charter Application Form

Appliction to be mailed to: – 41india Secretariat and copies to Area Chairman,Extension Convenor & President

Proposed New Club Name

City / State

41 Area

Number Allotted to Club (FOR OFFICE USE ONLY)

Proposed date of Club Charter

Actual date of Club Charter (FOR OFFICE USE ONLY)

Sponsor Club Number / Name

Sponsor Club Chairman Name & whatsapp Contact

Area Chairman Name

Proposed Club Chairman Name & whatsapp number

Proposed Club Secretary Name

Proposed Club Contact Member Name

Number of Members in Proposed Club (Name list to be attached)

A fellowship of young professionals committed to nation-building through service, friendship, and impactful projects since 1962.