Membership Transfer Application Form

Transfer approval will be processed through email.

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

Member's Name

Current Club Number / Name

Proposed Transfer Club Number / Name

Office Address

Residential Address

Telephone Number n Whatsapp number

Mobile Number

Email address

Declaration by Current Club Chairman / Secretary:

I confirm that I have no objection to above transfer and the member has cleared all his dues to our Club

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